Provider Demographics
NPI:1285819052
Name:JAMES E LEMMONS DDS PA
Entity Type:Organization
Organization Name:JAMES E LEMMONS DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-365-9871
Mailing Address - Street 1:330 BILLINGSLEY ROAD
Mailing Address - Street 2:STE 204
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211
Mailing Address - Country:US
Mailing Address - Phone:704-365-9871
Mailing Address - Fax:704-365-9898
Practice Address - Street 1:330 BILLINGSLEY ROAD
Practice Address - Street 2:STE 204
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211
Practice Address - Country:US
Practice Address - Phone:704-365-9871
Practice Address - Fax:704-365-9898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-29
Last Update Date:2007-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty