Provider Demographics
NPI:1689883266
Name:COTTONE, JAMES A JR (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:COTTONE
Suffix:JR
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3431 RIVER PATH ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2527
Mailing Address - Country:US
Mailing Address - Phone:210-561-0709
Mailing Address - Fax:210-561-1898
Practice Address - Street 1:3431 RIVER PATH ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2527
Practice Address - Country:US
Practice Address - Phone:210-561-0709
Practice Address - Fax:210-561-1898
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNONE122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist