Provider Demographics
NPI:1053310862
Name:READ, JAMES DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DENNIS
Last Name:READ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 GRAYSON LN
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-6903
Mailing Address - Country:US
Mailing Address - Phone:731-664-1657
Mailing Address - Fax:731-424-9719
Practice Address - Street 1:1523 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7520
Practice Address - Country:US
Practice Address - Phone:731-424-6452
Practice Address - Fax:731-424-9719
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
TNDS00000032331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice