Provider Demographics
NPI:1063631414
Name:NORWOOD, JAMES HARVEY III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARVEY
Last Name:NORWOOD
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 E ANDERSON ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5706
Mailing Address - Country:US
Mailing Address - Phone:817-599-8388
Mailing Address - Fax:817-599-7622
Practice Address - Street 1:708 E ANDERSON ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5706
Practice Address - Country:US
Practice Address - Phone:817-599-8388
Practice Address - Fax:817-599-7622
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice