Provider Demographics
NPI:1669543500
Name:NEECE, JAMES ALLEN (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLEN
Last Name:NEECE
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2225 S DANVILLE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4779
Mailing Address - Country:US
Mailing Address - Phone:325-698-7070
Mailing Address - Fax:325-698-7071
Practice Address - Street 1:2225 S DANVILLE DR
Practice Address - Street 2:SUITE 4
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4779
Practice Address - Country:US
Practice Address - Phone:325-698-7070
Practice Address - Fax:325-698-7071
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100681223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BE36Medicare ID - Type Unspecified
TXT14999Medicare UPIN