Provider Demographics
NPI:1790833325
Name:SHEARER, JAMES W (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:SHEARER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CLEVELAND AVENUE
Mailing Address - Street 2:JAMES W SHEARER DDS LTD
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112
Mailing Address - Country:US
Mailing Address - Phone:276-632-1296
Mailing Address - Fax:276-632-5575
Practice Address - Street 1:25 CLEVELAND AVENUE
Practice Address - Street 2:JAMES W SHEARER DDS LTD
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112
Practice Address - Country:US
Practice Address - Phone:276-632-1296
Practice Address - Fax:276-632-5575
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010042991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice