Provider Demographics
NPI:1861686164
Name:JAMES H. MADDOX, DDS, PA
Entity Type:Organization
Organization Name:JAMES H. MADDOX, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:MADDOX
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-670-9894
Mailing Address - Street 1:600 ALLIANCE CT STE A1
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2341
Mailing Address - Country:US
Mailing Address - Phone:828-670-9894
Mailing Address - Fax:828-670-7107
Practice Address - Street 1:600 ALLIANCE CT STE A1
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2341
Practice Address - Country:US
Practice Address - Phone:828-670-9894
Practice Address - Fax:828-670-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5511261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service