Provider Demographics
NPI:1003980574
Name:BARLESS, JAMES MONTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MONTE
Last Name:BARLESS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 10TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4607
Mailing Address - Country:US
Mailing Address - Phone:503-657-1215
Mailing Address - Fax:503-657-8307
Practice Address - Street 1:1673 10TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4607
Practice Address - Country:US
Practice Address - Phone:503-657-1215
Practice Address - Fax:503-657-8307
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD52731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice