Provider Demographics
NPI:1164408480
Name:APGAR, JAMES WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:APGAR
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 1:1235 DCCC RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-9544
Mailing Address - Country:US
Mailing Address - Phone:336-236-0165
Mailing Address - Fax:336-236-1021
Practice Address - Street 1:1235 DCCC RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-9544
Practice Address - Country:US
Practice Address - Phone:336-236-0165
Practice Address - Fax:336-323-6102
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6752OtherDENTAL LICENSE NUMBER
NC899006YMedicaid