Provider Demographics
NPI:1902359656
Name:HERRINGTON, JAMES BRENT JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRENT
Last Name:HERRINGTON
Suffix:JR
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 1:1611 W 5TH ST
Mailing Address - Street 2:APT #249
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4874
Mailing Address - Country:US
Mailing Address - Phone:903-948-3156
Mailing Address - Fax:
Practice Address - Street 1:507 W 15TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1511
Practice Address - Country:US
Practice Address - Phone:512-478-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32055122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist