Provider Demographics
NPI:1053316877
Name:CONDREY, JAMES GREGORY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GREGORY
Last Name:CONDREY
Suffix:
Gender:M
Credentials:DDS, MS
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Other - Credentials:
Mailing Address - Street 1:1111 HIGHWAY 6
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4914
Mailing Address - Country:US
Mailing Address - Phone:281-491-5544
Mailing Address - Fax:281-491-5554
Practice Address - Street 1:1111 HIGHWAY 6
Practice Address - Street 2:SUITE 215
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4914
Practice Address - Country:US
Practice Address - Phone:281-491-5544
Practice Address - Fax:281-491-5554
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX187631223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics