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NPI Code Detail

MEDICARE: DR. JAMES JOSEPH TRAXEL DMD

MEDICARE: DR. JAMES JOSEPH TRAXEL DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry4845KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942387030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES JOSEPH TRAXEL DMD
Provider Business Mailing Address
First Line : 399 W MAPLE LEAF RD
Second Line :
City : MAYSVILLE
State : KY
Zip : 41056-9176
Country : US
Telephone Number : 606-564-4371
Fax Number : 606-564-4371
Provider Business Practice Location Address
First Line : 399 W MAPLE LEAF RD
Second Line :
City : MAYSVILLE
State : KY
Zip : 41056-9176
Country : US
Telephone Number : 606-564-4371
Fax Number : 606-564-4371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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