Provider Demographics
NPI:1760516074
Name:JAMES F. DOLLAR D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JAMES F. DOLLAR D.D.S., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-874-6712
Mailing Address - Street 1:12725 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-9516
Mailing Address - Country:US
Mailing Address - Phone:757-874-6712
Mailing Address - Fax:757-886-1319
Practice Address - Street 1:12725 PATRICK HENRY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-9516
Practice Address - Country:US
Practice Address - Phone:757-874-6712
Practice Address - Fax:757-886-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04997122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty