Provider Demographics
NPI:1548296445
Name:BUFFINGTON, JAMES GRAY (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRAY
Last Name:BUFFINGTON
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 1:104 E BOND AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3108
Mailing Address - Country:US
Mailing Address - Phone:870-735-8222
Mailing Address - Fax:870-735-0190
Practice Address - Street 1:104 E BOND AVE
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-3108
Practice Address - Country:US
Practice Address - Phone:870-735-8222
Practice Address - Fax:870-735-0190
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR17341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice