Provider Demographics
NPI:1649672197
Name:STRATTON, JAMES FOORD (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FOORD
Last Name:STRATTON
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 1:315 ALVARADO PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92661-1217
Mailing Address - Country:US
Mailing Address - Phone:949-673-3636
Mailing Address - Fax:
Practice Address - Street 1:315 ALVARADO PL
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92661-1217
Practice Address - Country:US
Practice Address - Phone:949-673-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20785122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist