Provider Demographics
NPI:1770573768
Name:DUGAN, JAMES LAMAR II (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LAMAR
Last Name:DUGAN
Suffix:II
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 1:1132 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-4105
Mailing Address - Country:US
Mailing Address - Phone:423-745-5405
Mailing Address - Fax:423-745-6021
Practice Address - Street 1:1132 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4105
Practice Address - Country:US
Practice Address - Phone:423-745-5405
Practice Address - Fax:423-745-6021
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN77721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice