Provider Demographics
NPI:1023199270
Name:JAMES, PAUL BAILEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:BAILEY
Last Name:JAMES
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:PO BOX 816
Mailing Address - Street 2:
Mailing Address - City:ROBBINS
Mailing Address - State:NC
Mailing Address - Zip Code:27325-0816
Mailing Address - Country:US
Mailing Address - Phone:910-948-4655
Mailing Address - Fax:910-948-2020
Practice Address - Street 1:116 SOUTH MIDDLETON STREET
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:NC
Practice Address - Zip Code:27325-0816
Practice Address - Country:US
Practice Address - Phone:910-948-4655
Practice Address - Fax:910-948-2020
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC46551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC94479OtherBLUECROSS/BLUESHIELD
U41483Medicare UPIN