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NPI Code Detail

MEDICARE: DR. JAMES GARY NAIL D.D.S.

MEDICARE:  DR. JAMES GARY NAIL  D.D.S.
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 DentistryDE12092MO

General Provider Information

NPI Number : 1992707301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES GARY NAIL D.D.S.
Provider Business Mailing Address
First Line : 1200 E WOODHURST DR
Second Line : BUILDING M, SUITE 400
City : SPRINGFIELD
State : MO
Zip : 65804-4257
Country : US
Telephone Number : 417-881-1212
Fax Number :
Provider Business Practice Location Address
First Line : 1200 E WOODHURST DR
Second Line : BUILDING M, SUITE 400
City : SPRINGFIELD
State : MO
Zip : 65804-4257
Country : US
Telephone Number : 417-881-1212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES GARY NAIL D.D.S.” Practice Location

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