Provider Demographics
NPI:1780607713
Name:DUFF, JAMES SCOTT III (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:SCOTT
Last Name:DUFF
Suffix:III
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 1:4909 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1649
Mailing Address - Country:US
Mailing Address - Phone:804-355-3100
Mailing Address - Fax:804-355-0077
Practice Address - Street 1:4909 GROVE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1649
Practice Address - Country:US
Practice Address - Phone:804-355-3100
Practice Address - Fax:804-355-0077
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010077231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice