Provider Demographics
NPI:1205007168
Name:DR. JAMES N. POOVEY, D.D.S., P.A.
Entity Type:Organization
Organization Name:DR. JAMES N. POOVEY, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S., P.A.
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:POOVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PA
Authorized Official - Phone:828-322-4258
Mailing Address - Street 1:PO BOX 5006
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-5006
Mailing Address - Country:US
Mailing Address - Phone:828-322-4258
Mailing Address - Fax:
Practice Address - Street 1:360 9TH AVENUE DR NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3879
Practice Address - Country:US
Practice Address - Phone:828-322-4258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental