Provider Demographics
NPI:1053043737
Name:JAMES, CELIA LILLIAN-CLAIRE (DMD)
Entity type:Individual
Prefix:DR
First Name:CELIA
Middle Name:LILLIAN-CLAIRE
Last Name:JAMES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CELIA
Other - Middle Name:LILLIAN-CLAIRE
Other - Last Name:BONETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:150 W BRAMBLETON AVE APT 418
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1562 MITSCHER AVE STE 250
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-2423
Practice Address - Country:US
Practice Address - Phone:757-953-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27221122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist