Provider Demographics
NPI:1598919557
Name:JAMES PRITCHETT, DDS, PS
Entity Type:Organization
Organization Name:JAMES PRITCHETT, DDS, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PS
Authorized Official - Phone:360-533-7120
Mailing Address - Street 1:501 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-6013
Mailing Address - Country:US
Mailing Address - Phone:360-533-7120
Mailing Address - Fax:360-532-1250
Practice Address - Street 1:501 W MARKET ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-6013
Practice Address - Country:US
Practice Address - Phone:360-533-7120
Practice Address - Fax:360-532-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA37291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty