Provider Demographics
NPI:1831288109
Name:JAMES, HOWARD LEON (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEON
Last Name:JAMES
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:PO BOX 1261
Mailing Address - Street 2:1404 WOODLAND AVENUE
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-1261
Mailing Address - Country:US
Mailing Address - Phone:919-775-7253
Mailing Address - Fax:919-775-4949
Practice Address - Street 1:1404 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5650
Practice Address - Country:US
Practice Address - Phone:919-775-7253
Practice Address - Fax:919-775-4949
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC46541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice