Provider Demographics
NPI:1689878712
Name:NOTTINGHAM, JAMES H JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:NOTTINGHAM
Suffix:JR
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 1:142 W YORK ST
Mailing Address - Street 2:SUITE 705
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2015
Mailing Address - Country:US
Mailing Address - Phone:757-623-9545
Mailing Address - Fax:757-623-4561
Practice Address - Street 1:142 W YORK ST
Practice Address - Street 2:SUITE 705
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2015
Practice Address - Country:US
Practice Address - Phone:757-623-9545
Practice Address - Fax:757-623-4561
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA47716361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice