James Hollis Eble, DDS
Individual provider Active NPI Dentist · Harriman, TN
NPI 1992815096 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992815096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS3822 (TN)
- Practice address
- 415 Devonia St
Harriman, TN 37748 - Phone
- (865) 882-7531
- Fax
- (865) 882-7531
- NPI assigned
- Aug 30, 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
| License | State | Type | Specialty |
|---|---|---|---|
| DS3822 | TN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS3822 | TN | Yes |
Addresses
Primary practice location
415 Devonia St
Harriman, TN 37748
Mailing address
415 Devonia St
Harriman, TN 37748
Phone (865) 882-7531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS3822 | Other | TN | DENTAL |
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.