Provider Demographics
NPI:1922120401
Name:VASON, JAMES HAMILTON (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAMILTON
Last Name:VASON
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 HOWELL MILL RD NW STE 339
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4109
Mailing Address - Country:US
Mailing Address - Phone:404-367-9799
Mailing Address - Fax:404-609-9221
Practice Address - Street 1:3280 HOWELL MILL RD NW STE 339
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-4109
Practice Address - Country:US
Practice Address - Phone:404-367-9799
Practice Address - Fax:404-609-9221
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice