Provider Demographics
NPI:1396033643
Name:SLAUGHTER, JAMES III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:SLAUGHTER
Suffix:III
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 1:360 VENTURE POINT DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9514
Mailing Address - Country:US
Mailing Address - Phone:225-288-8881
Mailing Address - Fax:
Practice Address - Street 1:842 W 7TH AVE
Practice Address - Street 2:SUITE C&D
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-6318
Practice Address - Country:US
Practice Address - Phone:903-874-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2016-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry