Provider Demographics
NPI:1518915560
Name:JAMES, WILLIAM CHANDLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHANDLER
Last Name:JAMES
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 1:200 QUEENS ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204
Mailing Address - Country:US
Mailing Address - Phone:704-334-5306
Mailing Address - Fax:704-334-5307
Practice Address - Street 1:200 QUEENS ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204
Practice Address - Country:US
Practice Address - Phone:704-334-5306
Practice Address - Fax:704-334-5307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39401223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
94480OtherNC BC BS
94480OtherNC BC BS
V07839Medicare UPIN