Provider Demographics
NPI:1235178864
Name:LEMON, JAMES CLAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLAY
Last Name:LEMON
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 1:10914 E COUNTY ROAD 7300
Mailing Address - Street 2:
Mailing Address - City:SLATON
Mailing Address - State:TX
Mailing Address - Zip Code:79364-7912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1837
Practice Address - Country:US
Practice Address - Phone:806-797-0341
Practice Address - Fax:806-797-1607
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117231223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14379Medicare UPIN
TX800939Medicare ID - Type Unspecified