Provider Demographics
NPI:1538271291
Name:JAMES, JOHN PIPERIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PIPERIS
Last Name:JAMES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE BRA
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1268
Mailing Address - Country:US
Mailing Address - Phone:765-497-7171
Mailing Address - Fax:
Practice Address - Street 1:3412 KLONDIKE RD
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE BRA
Practice Address - State:IN
Practice Address - Zip Code:47906-5218
Practice Address - Country:US
Practice Address - Phone:765-463-6726
Practice Address - Fax:765-464-1556
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120093111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice