# JIM A. HARRELL, JR., D.D.S., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780863555
- **Authorized official:** DR. JAMES ANDREW HARRELL JR. D.D.S. (GENERAL FAMILY DENTIST)
- **Authorized official phone:** (336) 835-3337

## Contact information

- **Practice address:** 835 CLAREMONT CENTER DR, ELKIN, NC 28621-2488
- **Practice address phone:** (336) 835-3337
- **Practice address fax:** (336) 835-1241
- **Mailing address:** 835 CLAREMONT CENTER DR, ELKIN, NC 28621-2488
- **Mailing address phone:** (336) 835-3337
- **Mailing address fax:** (336) 835-1241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3791 | NC | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007