Provider Demographics
NPI:1710141031
Name:ROLAND, JAMES N (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:ROLAND
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 1:30 ASSEMBLY DR STE 102
Mailing Address - Street 2:P.O BOX 399
Mailing Address - City:MENDON
Mailing Address - State:NY
Mailing Address - Zip Code:14506-9608
Mailing Address - Country:US
Mailing Address - Phone:585-624-5886
Mailing Address - Fax:585-624-7395
Practice Address - Street 1:30 ASSEMBLY DR STE 102
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:NY
Practice Address - Zip Code:14506-9608
Practice Address - Country:US
Practice Address - Phone:585-624-5886
Practice Address - Fax:585-624-7395
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0543861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice