Provider Demographics
NPI:1225202484
Name:JAMES, JEFFREY NELSON (MD, DDS, FACS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:NELSON
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD, DDS, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 4TH ST STE 30137
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8422
Mailing Address - Country:US
Mailing Address - Phone:318-445-8606
Mailing Address - Fax:318-445-8694
Practice Address - Street 1:301 4TH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8411
Practice Address - Country:US
Practice Address - Phone:318-445-8606
Practice Address - Fax:318-445-8694
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119237204E00000X
GADNGA000670204E00000X
GA79392204E00000X
GADN015554204E00000X
NC2018-02491208600000X
LA58711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003200149DMedicaid
LA1858714Medicaid
SCZX9392Medicaid