Provider Demographics
NPI:1104017441
Name:JAMES, MISTI P (DDS)
Entity Type:Individual
Prefix:DR
First Name:MISTI
Middle Name:P
Last Name:JAMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 W HIGHWAY 71
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8315
Mailing Address - Country:US
Mailing Address - Phone:512-288-2823
Mailing Address - Fax:512-288-5435
Practice Address - Street 1:7200 W HIGHWAY 71
Practice Address - Street 2:SUITE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8315
Practice Address - Country:US
Practice Address - Phone:512-288-2823
Practice Address - Fax:512-288-5435
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice