Provider Demographics
NPI:1780665570
Name:HOLMES, JAMES R
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:HOLMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 WARD RD
Mailing Address - Street 2:410
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3821
Mailing Address - Country:US
Mailing Address - Phone:303-420-7100
Mailing Address - Fax:303-420-8479
Practice Address - Street 1:6355 WARD RD
Practice Address - Street 2:410
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3821
Practice Address - Country:US
Practice Address - Phone:303-420-7100
Practice Address - Fax:303-420-8479
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist