MEDICARE: JAMES ORTHODONTICS, INC.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	19744	TX
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	9921	TX

General Provider Information

NPI Number	:	1972513547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES ORTHODONTICS, INC.

Provider Business Mailing Address
First Line	:	106 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-6026
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. JEFFREY W. JAMES
Credential	:	D.D.S. , M.S.
Telephone Number	:	903-729-6026

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/22/2020

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