| James Bourne Dds Pc | |
|
3732 Ben Walters Ln Homer AK 99603-7704 | |
| (907) 235-8574 | |
| (907) 235-7593 |
| Full Name | James Bourne Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3732 Ben Walters Ln, Homer, Alaska |
| Authorized Official Name and Position | James Randall Bourne (OWNER) |
| Authorized Official Contact | 9072358574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Bourne Dds Pc 3732 Ben Walters Ln Homer AK 99603-7704 Ph: (907) 235-8574 | James Bourne Dds Pc 3732 Ben Walters Ln Homer AK 99603-7704 Ph: (907) 235-8574 |
| NPI Number | 1073998480 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073998480 | NPI | - | NPPES |
| 1598094 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AK1516 (Alaska) | Primary |
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