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Theodore James, DDS — NPI 1841726593, Ammon, ID | NPI Central

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NPI 1841726593

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Theodore James, DDS

NPI 1841726593 · Oral and Maxillofacial Surgery (Dentist) · Ammon, ID

Provider details

NPI number: 1841726593
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: DS041404 (PA)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense D-5258 (ID)
Dental Providers
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense DS041404 (PA)
Dental Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

2677 E 17th St Ste 600

Ammon, ID 83406-6619

Phone: (208) 705-9652

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

2677 E 17th St Ste 600

Ammon, ID 83406-6619

Registry dates

Enumerated: 2017-05-01
Last updated: 2024-01-12
Certified: 2024-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.