Mccutcheon, James R

Mccutcheon, James R is an individual health care provider with primary practice located at 22 Arrowhead Drive Suite C, Ithaca NY 14850. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mccutcheon, James R can be contacted via phone (607) 257-1010.

Contact Information

Primary practice address
22 Arrowhead Drive Suite C Ithaca NY 14850
Phone: (607) 257-1010
Fax: (607) 257-1982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0385961 New York

Profile Details

NPI number 1902994684
LBN Legal business name Mccutcheon, James R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1902994684 NPPES
New York MEDICAID 00930401

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