Provider Demographics
NPI:1760468151
Name:RICH, JAMES MCGAUGHEY JR (DMD , M SC O)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MCGAUGHEY
Last Name:RICH
Suffix:JR
Gender:M
Credentials:DMD , M SC O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 WHITE OAK ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4770
Mailing Address - Country:US
Mailing Address - Phone:336-625-2044
Mailing Address - Fax:336-625-9075
Practice Address - Street 1:513 WHITE OAK ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4770
Practice Address - Country:US
Practice Address - Phone:336-625-2044
Practice Address - Fax:336-625-9075
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics