James Bourne Dds Pc
LBN: James Bourne Dds Pc
James Bourne Dds Pc is an health care organization with primary practice located at 3732 Ben Walters Ln , Homer AK 99603-7704. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
James Bourne Dds Pc can be contacted via phone (907) 235-8574, or through Bourne, James Randall via phone (907) 235-8574.
Contact Information
Primary practice address
3732 Ben Walters Ln
Homer AK 99603-7704
Phone: (907) 235-8574
Fax: (907) 235-7593
Website:
Authorized official contact:
Name: Bourne, James Randall Doctor of Dental Surgery (DDS)
Phone: (907) 235-8574
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | AK1516 | Alaska |
Profile Details
| NPI number | 1073998480 |
|---|---|
| LBN Legal business name | James Bourne Dds Pc |
| DBA Doing business as | |
| Authorized official | Bourne, James Randall Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2015 |
| Last updated | Jul 27th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073998480 | NPPES |
| Alaska | MEDICAID | 1598094 |
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