Provider Demographics
NPI:1356456602
Name:LLOYD, JAMES MICHAEL (DDS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:MICHAEL
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MSD
Mailing Address - Street 1:3851 SW GREEN OAKS BLVD
Mailing Address - Street 2:123
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4130
Mailing Address - Country:US
Mailing Address - Phone:817-483-2445
Mailing Address - Fax:817-483-2677
Practice Address - Street 1:3851 SW GREEN OAKS BLVD
Practice Address - Street 2:123
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4130
Practice Address - Country:US
Practice Address - Phone:817-483-2445
Practice Address - Fax:817-483-2677
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry