Provider Demographics
NPI:1184758203
Name:RATCLIFF, JAMES S (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:RATCLIFF
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 1:7201 E PRINCESS BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-9602
Mailing Address - Country:US
Mailing Address - Phone:480-588-9007
Mailing Address - Fax:480-588-9072
Practice Address - Street 1:7201 E PRINCESS BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-9602
Practice Address - Country:US
Practice Address - Phone:480-588-9007
Practice Address - Fax:480-588-9072
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7858122300000X
FL16052122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist