Provider Demographics
NPI:1689680373
Name:ROY, JAMES NORMAN (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NORMAN
Last Name:ROY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4315
Mailing Address - Country:US
Mailing Address - Phone:603-225-4938
Mailing Address - Fax:
Practice Address - Street 1:502 RIVERWAY PL
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6766
Practice Address - Country:US
Practice Address - Phone:603-622-2100
Practice Address - Fax:603-622-5665
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3064122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist