James P Houston, DMD

Individual provider Active NPI General Practice Dentistry · Apo Ae, NY

NPI 1962583344 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962583344
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
17726 (TX)
Practice address
CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180
Phone
(637) 192-9130
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

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
17726TXMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17726 TX Yes

Addresses

Primary practice location

CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180

Mailing address

CMR 402
Landstuhl Dental Activity Credentials Office
Apo Ae, NY 09180
Phone (637) 192-9130

Other providers in Apo Ae, NY

All providers in Apo Ae, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.