Provider Demographics
NPI:1831533413
Name:STRONG, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:STRONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 E MAIN ST
Mailing Address - Street 2:P.O.BOX 216
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40071-8602
Mailing Address - Country:US
Mailing Address - Phone:502-477-8444
Mailing Address - Fax:502-477-9181
Practice Address - Street 1:153 E MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40071-8602
Practice Address - Country:US
Practice Address - Phone:502-477-8444
Practice Address - Fax:502-477-9181
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY65451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice