Provider Demographics
NPI:1609894351
Name:BEGLEY, JAMES KENT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KENT
Last Name:BEGLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1429
Mailing Address - Country:US
Mailing Address - Phone:678-473-1004
Mailing Address - Fax:678-473-1033
Practice Address - Street 1:3820 PLEASANT HILL RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1429
Practice Address - Country:US
Practice Address - Phone:678-473-1004
Practice Address - Fax:678-473-1033
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA88331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice