Provider Demographics
NPI:1285817981
Name:SHAMBARGER, JAMES HIGDON (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HIGDON
Last Name:SHAMBARGER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2800 TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4109
Mailing Address - Country:US
Mailing Address - Phone:903-793-0055
Mailing Address - Fax:903-792-0062
Practice Address - Street 1:2800 TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4109
Practice Address - Country:US
Practice Address - Phone:903-793-0055
Practice Address - Fax:903-792-0062
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223461223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics