Provider Demographics
NPI:1407242035
Name:JAMES R. COLLINS, D.D.S.
Entity Type:Organization
Organization Name:JAMES R. COLLINS, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-887-5300
Mailing Address - Street 1:430 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-1233
Mailing Address - Country:US
Mailing Address - Phone:978-887-5300
Mailing Address - Fax:978-887-5197
Practice Address - Street 1:430 BOSTON ST
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-1233
Practice Address - Country:US
Practice Address - Phone:978-887-5300
Practice Address - Fax:978-887-5197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9776261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental