Provider Demographics
NPI:1770566507
Name:KEMPER, JAMES C (DDS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:KEMPER
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 1:3 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-2419
Mailing Address - Country:US
Mailing Address - Phone:540-387-2569
Mailing Address - Fax:
Practice Address - Street 1:3 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-2419
Practice Address - Country:US
Practice Address - Phone:540-387-2569
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4657122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK7099117OtherDRUG ENF. ADM.