Provider Demographics
NPI:1568612893
Name:JAMES, PORCHIA WILLIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:PORCHIA
Middle Name:WILLIS
Last Name:JAMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PORCHIA
Other - Middle Name:
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:12398 FM 423 STE 200
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0157
Mailing Address - Country:US
Mailing Address - Phone:214-705-1660
Mailing Address - Fax:
Practice Address - Street 1:12398 FM 423 STE 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0157
Practice Address - Country:US
Practice Address - Phone:214-705-1660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242191223S0112X
TN102021223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery