Provider Demographics
NPI:1619049244
Name:MCMASTERS, JAMES HOWARD (JHOWARD MCMASTERS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOWARD
Last Name:MCMASTERS
Suffix:
Gender:M
Credentials:JHOWARD MCMASTERS
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:HOWARD
Other - Last Name:MCMASTERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JHOWARDMCMATERSDDS
Mailing Address - Street 1:1037 HOMELAND AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7003
Mailing Address - Country:US
Mailing Address - Phone:336-272-0132
Mailing Address - Fax:336-272-3644
Practice Address - Street 1:1037 HOMELAND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7003
Practice Address - Country:US
Practice Address - Phone:336-272-0132
Practice Address - Fax:336-272-3644
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4275122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4275OtherLICENSE
NC95840OtherBCBS
NC8995840Medicaid