Provider Demographics
NPI:1104031202
Name:MCCARTER, JAMES ALLEN (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:MCCARTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5825
Mailing Address - Country:US
Mailing Address - Phone:509-484-4455
Mailing Address - Fax:509-484-9313
Practice Address - Street 1:4007 N MARKET ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-5825
Practice Address - Country:US
Practice Address - Phone:509-484-4455
Practice Address - Fax:509-484-9313
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000078361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice