Lopez, James Irvine
Lopez, James Irvine is an sole proprietor health care provider with primary practice located at 1834 Warm Springs Rd , Columbus GA 31904-8029. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Lopez, James Irvine can be contacted via phone (706) 324-1834.Contact Information
Primary practice address
1834 Warm Springs Rd
Columbus GA 31904-8029
Phone: (706) 324-1834
Fax: (706) 324-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9074 | Georgia |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 9074 | Georgia |
Profile Details
| NPI number | 1912115056 |
|---|---|
| LBN Legal business name | Lopez, James Irvine |
| Credentials | DDS, MS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912115056 | NPPES |
| Georgia | MEDICAID | 00184984A | |
| Georgia | Other | 40278 |
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