Provider Demographics
NPI:1366823478
Name:ALLOR, JAMES JR
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:ALLOR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30988 WHEATON
Mailing Address - Street 2:APT #320
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-9439
Mailing Address - Country:US
Mailing Address - Phone:248-866-0966
Mailing Address - Fax:
Practice Address - Street 1:17600 W 12 MILE RD
Practice Address - Street 2:SUITE #3
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1910
Practice Address - Country:US
Practice Address - Phone:248-569-6722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist