Provider Demographics
NPI:1336309509
Name:BRICE, JAMES ZACHARY (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ZACHARY
Last Name:BRICE
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 1:8425 BANDERA RD STE 124
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-2519
Mailing Address - Country:US
Mailing Address - Phone:210-680-3611
Mailing Address - Fax:
Practice Address - Street 1:8425 BANDERA RD STE 124
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-2519
Practice Address - Country:US
Practice Address - Phone:210-680-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice