Provider Demographics
NPI:1770634222
Name:MCALPIN, BUDDY JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:BUDDY
Middle Name:JAMES
Last Name:MCALPIN
Suffix:
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 1:726 ARRAN CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-8409
Mailing Address - Country:US
Mailing Address - Phone:904-504-0352
Mailing Address - Fax:904-264-7804
Practice Address - Street 1:1542 KINGSLEY AVE
Practice Address - Street 2:SUITE 142
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4586
Practice Address - Country:US
Practice Address - Phone:904-264-7804
Practice Address - Fax:904-264-7804
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8008122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist