Healthcare Provider Details

I. General information

NPI: 1558557173
Provider Name (Legal Business Name): WILLIAM C JAMES DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUEENS RD STE 310
CHARLOTTE NC
28204-3257
US

IV. Provider business mailing address

200 QUEENS RD STE 310
CHARLOTTE NC
28204-3257
US

V. Phone/Fax

Practice location:
  • Phone: 704-334-5306
  • Fax: 704-334-5307
Mailing address:
  • Phone: 704-334-5306
  • Fax: 704-334-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number3940
License Number StateNC

VIII. Authorized Official

Name: DR. WILLIAM CHANDLER JAMES
Title or Position: PRESIDENT
Credential: DDS
Phone: 704-334-5306