Provider Demographics
NPI:1790997195
Name:JAMES, LOIS (DDS)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ATLANTIC AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970-9115
Mailing Address - Country:US
Mailing Address - Phone:302-537-4500
Mailing Address - Fax:302-537-0800
Practice Address - Street 1:17 ATLANTIC AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-9115
Practice Address - Country:US
Practice Address - Phone:302-537-4500
Practice Address - Fax:302-537-0800
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist