Provider Demographics
NPI:1730172347
Name:BATES, JAMES DOUGLAS (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:BATES
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:3001 KNOX ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-5584
Mailing Address - Country:US
Mailing Address - Phone:214-824-8960
Mailing Address - Fax:214-824-8984
Practice Address - Street 1:3001 KNOX ST
Practice Address - Street 2:SUITE 301
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-5584
Practice Address - Country:US
Practice Address - Phone:214-824-8960
Practice Address - Fax:214-824-8984
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2011-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX120961223S0112X
TXH0164204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery