James L Overman, DDS
Individual provider Active NPI Dentist · Minster, OH
NPI 1962674929 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1962674929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 013333 (OH)
- Practice address
- 4215 State Route 66
Minster, OH 45865-9729 - Phone
- (419) 628-3380
- Fax
- (419) 628-3670
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013333 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minster Dental Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 013333 | OH | Yes |
Addresses
Primary practice location
4215 State Route 66
Minster, OH 45865-9729
Mailing address
4215 State Route 66
PO Box 102
Minster, OH 45865-9729
Phone (419) 628-3380
Other providers in Minster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.