Provider Demographics
NPI:1932210515
Name:COLLINS, JAMES H JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 MAIN STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056
Mailing Address - Country:US
Mailing Address - Phone:508-528-4510
Mailing Address - Fax:508-528-4510
Practice Address - Street 1:206 MAIN STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:NORFOLK
Practice Address - State:MA
Practice Address - Zip Code:02056
Practice Address - Country:US
Practice Address - Phone:508-528-4510
Practice Address - Fax:508-528-4510
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA146621223G0001X
MADN146621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice