Provider Demographics
NPI:1053589226
Name:HALTOM, JAMES WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:HALTOM
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 1:320 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-3821
Mailing Address - Country:US
Mailing Address - Phone:806-385-6935
Mailing Address - Fax:806-385-6937
Practice Address - Street 1:320 E 8TH ST
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3821
Practice Address - Country:US
Practice Address - Phone:806-385-6935
Practice Address - Fax:806-385-6937
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2009-02-04
Deactivation Date:2008-12-11
Deactivation Code:
Reactivation Date:2009-02-04
Provider Licenses
StateLicense IDTaxonomies
TX213911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice