Provider Demographics
NPI:1518160795
Name:RHODES, JAMES NELSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NELSON
Last Name:RHODES
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 1:1305 RODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3916
Mailing Address - Country:US
Mailing Address - Phone:757-397-3296
Mailing Address - Fax:757-397-0893
Practice Address - Street 1:1305 RODMAN AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3916
Practice Address - Country:US
Practice Address - Phone:757-397-3296
Practice Address - Fax:757-397-0893
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010054351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1437236932OtherCORPORATION NPI NUMBER