Provider Demographics
NPI:1164609657
Name:OAKES DDS, W JAMES (DDS)
Entity Type:Individual
Prefix:MR
First Name:W
Middle Name:JAMES
Last Name:OAKES DDS
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 1:4513 HIXSON PIKE
Mailing Address - Street 2:103
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343
Mailing Address - Country:US
Mailing Address - Phone:423-875-6778
Mailing Address - Fax:423-875-6779
Practice Address - Street 1:4513 HIXSON PIKE
Practice Address - Street 2:103
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-875-6778
Practice Address - Fax:423-875-6779
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS23831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice