Provider Demographics
NPI:1235232406
Name:HALE, JAMES DENNIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DENNIS
Last Name:HALE
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 1:17569 OLD STAGE COACH ROAD
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2267
Mailing Address - Country:US
Mailing Address - Phone:703-221-3444
Mailing Address - Fax:703-221-6611
Practice Address - Street 1:17569 OLD STAGE COACH ROAD
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2267
Practice Address - Country:US
Practice Address - Phone:703-221-3444
Practice Address - Fax:703-221-6611
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist