James R Bigham II, D,M,D.

Individual provider Active NPI General Practice Dentistry · Newburgh, IN

NPI 1215064522 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215064522
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12007321 (IN)
Practice address
4333 State Route 261 Ste a
Newburgh, IN 47630-2668
Phone
(812) 853-0625
Fax
(812) 853-0614
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12007321INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12007321 IN Yes

Addresses

Primary practice location

4333 State Route 261 Ste a
Newburgh, IN 47630-2668

Mailing address

4333 State Route 261 Ste a
Newburgh, IN 47630-2668
Phone (812) 853-0625

Other providers in Newburgh, IN

All providers in Newburgh, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.