Provider Demographics
NPI:1598163800
Name:JAMES THURBER DDS PA
Entity Type:Organization
Organization Name:JAMES THURBER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:THURBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-745-6644
Mailing Address - Street 1:2712 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1428
Mailing Address - Country:US
Mailing Address - Phone:806-745-6644
Mailing Address - Fax:806-748-1518
Practice Address - Street 1:2712 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1428
Practice Address - Country:US
Practice Address - Phone:806-745-6644
Practice Address - Fax:806-748-1518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26379122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty