James Allan Thurmond, D.D.S.

Individual provider Active NPI General Practice Dentistry · Cuba, NM

NPI 1215961271 · NPPES record last updated Jul 19, 2007

Key facts

NPI
1215961271
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1104 (NM)
Practice address
6349 Main Street
Cuba, NM 87013-0608
Phone
(505) 289-3291
NPI assigned
Jul 10, 2006
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
1104NMMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1104 NM Yes

Addresses

Primary practice location

6349 Main Street
Cuba, NM 87013-0608

Mailing address

6349 Main St
Cuba, NM 87013-1915
Phone (505) 289-3291

Other providers in Cuba, NM

All providers in Cuba, NM · General Practice Dentistry in New Mexico

Sources for this page

Verify at the official NPI Registry.