MEDICARE: DR. JAMES PATTON WEBB JR. DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3751-14	MS

General Provider Information

NPI Number	:	1093128894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PATTON WEBB JR. DMD

Provider Business Mailing Address
First Line	:	15503 OAK LN # 300B
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39503-2697
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15503 OAK LN # 300B
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39503-2697
Country	:	US
Telephone Number	:	228-832-3231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	05/22/2024

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