Individual
DR. JAMES ETHAN PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 362-2400
(804) 419-1059
Mailing address
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401415161
VA
Other
Enumeration date
05/07/2014
Last updated
08/25/2021
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