Provider Demographics
NPI:1760595094
Name:MADDOX, JAMES HESS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HESS
Last Name:MADDOX
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:600 ALLIANCE CT
Mailing Address - Street 2:SUITE A1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:20806
Mailing Address - Country:US
Mailing Address - Phone:828-670-9894
Mailing Address - Fax:828-670-7107
Practice Address - Street 1:600 ALLIANCE CT
Practice Address - Street 2:SUITE A1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:20806
Practice Address - Country:US
Practice Address - Phone:828-670-9894
Practice Address - Fax:828-670-7107
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC55111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice