Provider Demographics
NPI:1275616922
Name:PENNEY, JAMES A III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:PENNEY
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13239 CANTRELL ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1608
Mailing Address - Country:US
Mailing Address - Phone:501-227-7668
Mailing Address - Fax:501-227-7120
Practice Address - Street 1:13239 CANTRELL ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1608
Practice Address - Country:US
Practice Address - Phone:501-227-7668
Practice Address - Fax:501-500-5901
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2022-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AR30091223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR710773751OtherTAX ID