Provider Demographics
NPI:1609035344
Name:STATE, CATON JAMES (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CATON
Middle Name:JAMES
Last Name:STATE
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 CEDAR RAVINE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-6561
Mailing Address - Country:US
Mailing Address - Phone:530-626-6320
Mailing Address - Fax:530-626-5573
Practice Address - Street 1:3171 WASHINGTON ST.
Practice Address - Street 2:#D
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5831
Practice Address - Country:US
Practice Address - Phone:530-626-6320
Practice Address - Fax:530-626-5573
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics