Provider Demographics
NPI:1235568312
Name:JAMES L TRITTON DDS PC
Entity Type:Organization
Organization Name:JAMES L TRITTON DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-662-7874
Mailing Address - Street 1:3008 E HEBRON PKWY # 100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4469
Mailing Address - Country:US
Mailing Address - Phone:972-662-7874
Mailing Address - Fax:972-662-5000
Practice Address - Street 1:3008 E HEBRON PKWY # 100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4469
Practice Address - Country:US
Practice Address - Phone:972-662-7874
Practice Address - Fax:972-662-5000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty