Provider Demographics
NPI:1700904661
Name:PRICE, JAMES C (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:PRICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1455 E GUADALUPE RD
Mailing Address - Street 2:#1
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3951
Mailing Address - Country:US
Mailing Address - Phone:480-831-6440
Mailing Address - Fax:480-831-6751
Practice Address - Street 1:1455 E GUADALUPE RD
Practice Address - Street 2:#1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3951
Practice Address - Country:US
Practice Address - Phone:480-831-6440
Practice Address - Fax:480-831-6751
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1657122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist