Provider Demographics
NPI:1245427186
Name:JAMES, HOLLIS WHITCLIFFE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOLLIS
Middle Name:WHITCLIFFE
Last Name:JAMES
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 1:10241 JOY ROAD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204
Mailing Address - Country:US
Mailing Address - Phone:313-491-4444
Mailing Address - Fax:313-491-1955
Practice Address - Street 1:10241 JOY ROAD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204
Practice Address - Country:US
Practice Address - Phone:313-491-4444
Practice Address - Fax:313-491-1955
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI112151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice