Provider Demographics
NPI:1750464962
Name:HIGGINS, JAMES C JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:HIGGINS
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:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:OTIS
Mailing Address - State:MA
Mailing Address - Zip Code:01253-0129
Mailing Address - Country:US
Mailing Address - Phone:413-269-4371
Mailing Address - Fax:413-269-4371
Practice Address - Street 1:11 EAST OTIS RD
Practice Address - Street 2:
Practice Address - City:OTIS
Practice Address - State:MA
Practice Address - Zip Code:01253-0129
Practice Address - Country:US
Practice Address - Phone:413-269-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA139211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice