Provider Demographics
NPI:1689839367
Name:WARREN, JAMES W (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:WARREN
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 1:2020 BABCOCK RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4443
Mailing Address - Country:US
Mailing Address - Phone:210-615-8380
Mailing Address - Fax:210-615-0054
Practice Address - Street 1:2020 BABCOCK RD
Practice Address - Street 2:SUITE 22
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4443
Practice Address - Country:US
Practice Address - Phone:210-615-8380
Practice Address - Fax:210-615-0054
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice