Provider Demographics
NPI:1447352927
Name:SAVERA, JAMES LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:SAVERA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 KIMBER AVE
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-2525
Mailing Address - Country:US
Mailing Address - Phone:906-225-1090
Mailing Address - Fax:
Practice Address - Street 1:101 S FRONT ST STE 401
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4647
Practice Address - Country:US
Practice Address - Phone:906-228-9115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901008283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist