Adjan, James Farris

Adjan, James Farris is an individual health care provider with primary practice located at 696 Highway 71 W Suite 4D, Bastrop TX 78602-4009. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Adjan, James Farris can be contacted via phone (512) 321-5437.

Contact Information

Primary practice address
696 Highway 71 W Suite 4D Bastrop TX 78602-4009
Phone: (512) 321-5437
Fax: (888) 317-1936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30022364 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X 25351 Texas

Profile Details

NPI number 1962527481
LBN Legal business name Adjan, James Farris
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Nov 4th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962527481 NPPES
Ohio Other 260135218044 CARE SOURCE
Ohio MEDICAID 2121196-01 CARE SOURCE
Ohio MEDICAID 2732289 CARE SOURCE
Ohio Other 9199964 CARE SOURCE

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