Douglass, James Davis

Douglass, James Davis is an individual health care provider with primary practice located at 101 Wall St , Fayetteville NC 28301-4761. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Douglass, James Davis can be contacted via phone (910) 323-8254.

Contact Information

Primary practice address
101 Wall St Fayetteville NC 28301-4761
Phone: (910) 323-8254
Fax: (910) 323-2532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6741 North Carolina

Profile Details

NPI number 1124184239
LBN Legal business name Douglass, James Davis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Nov 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124184239 NPPES
North Carolina MEDICAID 8992191

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