Provider Demographics
NPI:1053376665
Name:HARTIGAN, JAMES EMMETT JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EMMETT
Last Name:HARTIGAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:79 SOFTWIND DR
Mailing Address - Street 2:
Mailing Address - City:MONETA
Mailing Address - State:VA
Mailing Address - Zip Code:24121-1975
Mailing Address - Country:US
Mailing Address - Phone:540-721-8225
Mailing Address - Fax:
Practice Address - Street 1:705 MAIN ST
Practice Address - Street 2:PATHS, INC.
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:434-791-0214
Practice Address - Fax:434-791-0217
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005765122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist