Provider Demographics
NPI:1295802916
Name:MIDKIFF, JAMES E (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:MIDKIFF
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 1:3434 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-3602
Mailing Address - Country:US
Mailing Address - Phone:407-843-5251
Mailing Address - Fax:407-843-2658
Practice Address - Street 1:3434 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-3602
Practice Address - Country:US
Practice Address - Phone:407-843-5251
Practice Address - Fax:407-843-2658
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-140421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice