Tague, James Robert

Tague, James Robert is an individual health care provider with primary practice located at 138 Church St , Alexandria Bay NY 13607. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tague, James Robert can be contacted via phone (315) 482-9941.

Contact Information

Primary practice address
138 Church St Alexandria Bay NY 13607
Phone: (315) 482-9941
Fax: (315) 482-2783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 038171 New York

Profile Details

NPI number 1467482976
LBN Legal business name Tague, James Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1467482976 NPPES
New York MEDICAID 02407683

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