Provider Demographics
NPI:1417477605
Name:JAMES, KATHRYN LYN (DDS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LYN
Last Name:JAMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 PRESTON RD STE 500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2677
Mailing Address - Country:US
Mailing Address - Phone:972-527-5555
Mailing Address - Fax:
Practice Address - Street 1:6317 PRESTON RD STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2677
Practice Address - Country:US
Practice Address - Phone:972-527-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33023122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist