Provider Demographics
NPI:1740328731
Name:DABBS, JAMES PRESTON JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PRESTON
Last Name:DABBS
Suffix:JR
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:PO BOX 645
Mailing Address - Street 2:26550 POINT LOOKOUT ROAD
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-0645
Mailing Address - Country:US
Mailing Address - Phone:301-475-5551
Mailing Address - Fax:301-475-8837
Practice Address - Street 1:26550 POINT LOOKOUT ROAD
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-0645
Practice Address - Country:US
Practice Address - Phone:301-475-5551
Practice Address - Fax:301-475-8837
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD63951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice