Provider Demographics
NPI:1609081488
Name:DUNCAN, JAMES A (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:DUNCAN
Suffix:
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 1:240 RELIANT DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-3317
Mailing Address - Country:US
Mailing Address - Phone:361-643-3030
Mailing Address - Fax:361-643-5050
Practice Address - Street 1:240 RELIANT DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-3317
Practice Address - Country:US
Practice Address - Phone:361-643-3030
Practice Address - Fax:361-643-5050
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice