Dr. James R McCormick, DDS
Dentist, General Practice in Vivian, LA. Individual provider (NPI-1).
NPI number1194882829
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194882829
- Entity type
- Individual (NPI-1)
- Name
- Dr. James R McCormick
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3568 | LA | Yes |
Practice location
117 N Pine StVivian, LA 71082-2743
Phone 318-375-2851 · Fax 318-375-5195
Mailing address
117 N Pine StVivian, LA 71082-2743
Phone 318-375-2851 · Fax 318-375-5195
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