Provider Demographics
NPI:1154494284
Name:BELCHER, JAMES W JR (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:BELCHER
Suffix:JR
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 1:301 EAST WENDOVER AVE SUITE 111
Mailing Address - Street 2:PIEDMONT ORAL MAXILLOFACIAL FAC CTR
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401
Mailing Address - Country:US
Mailing Address - Phone:336-273-1000
Mailing Address - Fax:336-275-9919
Practice Address - Street 1:301 EAST WENDOVER AVE SUITE 111
Practice Address - Street 2:PIEDMONT ORAL MAXILLOFACIAL FAC CTR
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401
Practice Address - Country:US
Practice Address - Phone:336-273-1000
Practice Address - Fax:336-275-9919
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7249204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990160Medicaid
U72670Medicare UPIN
2428832Medicare ID - Type Unspecified