Provider Demographics
NPI:1831221191
Name:ALEXANDER, JAMES CAMPBELL (DDS)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CAMPBELL
Last Name:ALEXANDER
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:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948
Mailing Address - Country:US
Mailing Address - Phone:530-846-4223
Mailing Address - Fax:530-846-5921
Practice Address - Street 1:505 SPRUCE STREET
Practice Address - Street 2:
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948
Practice Address - Country:US
Practice Address - Phone:530-846-4223
Practice Address - Fax:530-846-5921
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46729122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist