Individual
DR. JAMES L. VADEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
308 E 1ST ST, COOKEVILLE, TN 38501-3319
(931) 526-3717
Mailing address
308 E 1ST ST, COOKEVILLE, TN 38501-3319
(931) 526-3717
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS002142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006626
TENNCARE PROVIDER NUMBER
TN
Enumeration date
03/09/2006
Last updated
07/08/2007
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