Organization · Type 2 NPI
James L. Derrico DDS LLC
Customized Equipment (DME) · Jackson, WY
NPI number
1235700014
Active
Practice location
1130 S Hwy 89
Jackson, WY 83001-8512
Mailing address
PO Box 806
Jackson, WY 83001-0806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
Other customized equipment (dme) providers in Jackson
About NPI 1235700014
James L. Derrico DDS LLC's National Provider Identifier is 1235700014, issued on Jul 2, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Jackson, WY. The record was last updated on Aug 3, 2023.