DR. James George Trantham IV, DMD

NPI #1265456826 in Melbourne, Florida

Provider Information

NPI Number: 1265456826
Entity Type: Individual
Name: DR. James George Trantham IV, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 27, 2006
Last Updated: Jun 29, 2018

Practice Location

Address: 1704 AIRPORT BLVD STE A
City: Melbourne
State: Florida
ZIP Code: 32901
Phone: (321) 473-5414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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