Individual
MR. JAMES DAVID JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 EAST MAIN STREET, ELKHORN CITY, KY 41522
(606) 754-0155
(606) 754-0151
Mailing address
155 EAST MAIN STREET, P.O. BOX 1500, ELKHORN CITY, KY 41522
(606) 754-0155
(606) 754-0151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7265
KY
1223G0001X
General Practice Dentistry
Primary
7265
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60072659
—
KY
Enumeration date
01/25/2007
Last updated
12/16/2020
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