Dr. James Anthony Dyer
Oral and Maxillofacial Surgeon
131 Boston Post Road
East Lyme
, Connecticut 06333
Dr. James Anthony Dyer
Oral and Maxillofacial Surgeon
131 Boston Post Road
East Lyme
, Connecticut 06333
(860) 739-4901
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. James Anthony Dyer
- P.o. Box 474 131 Boston Post Road
- East Lyme, CT
- Zip : 06333
- Phone : (860) 739-4901
Second Address
- Dr. James Anthony Dyer
- 131 Boston Post Road
- East Lyme, CT
- Zip : 06333
- Phone : (860) 739-4901
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4620 | CT |
National Provider Identifier
| NPI | 1033125323 |
|---|---|
| Provider Name | Dr. James Anthony Dyer |
| First Address | East Lyme, CT 06333 |
| Second Address | East Lyme, CT 06333 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4620 | CT DENTAL LICENSE (01) | CT |
| AD1920190 | DEA # (01) | |
| T22643 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.