Provider Demographics
NPI:1497825269
Name:BINKLEY, JAMES MICHAEL (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:BINKLEY
Suffix:
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:PO BOX 287
Mailing Address - Street 2:
Mailing Address - City:ARCHIE
Mailing Address - State:MO
Mailing Address - Zip Code:64725-0287
Mailing Address - Country:US
Mailing Address - Phone:816-293-5980
Mailing Address - Fax:816-430-5351
Practice Address - Street 1:402 S MAIN
Practice Address - Street 2:
Practice Address - City:ARCHIE
Practice Address - State:MO
Practice Address - Zip Code:64725-9611
Practice Address - Country:US
Practice Address - Phone:816-293-5980
Practice Address - Fax:816-430-5351
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015238122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist