Provider Demographics
NPI:1568547552
Name:FLIPPEN, JAMES HERMAN SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HERMAN
Last Name:FLIPPEN
Suffix:SR
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 1604
Mailing Address - Street 2:
Mailing Address - City:BUNA
Mailing Address - State:TX
Mailing Address - Zip Code:77612-1604
Mailing Address - Country:US
Mailing Address - Phone:409-994-3719
Mailing Address - Fax:
Practice Address - Street 1:3553 HWY 96 SOUTH
Practice Address - Street 2:WHITEHEAD PROF BLDG
Practice Address - City:BUNA
Practice Address - State:TX
Practice Address - Zip Code:77612-1604
Practice Address - Country:US
Practice Address - Phone:409-994-3719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX128211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice