Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 03584 | NH |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 12780 | MD |
N | 204E00000X | Oral & Maxillofacial Surgeon | 03584 | NH |
NPI | 1518993740 |
---|---|
Provider Name | Dr. James M Buchanan JR. |
First Address | Portsmouth, NH 03801-3867 |
Second Address | Leland, NC 28451-4168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 07/05/2013 |