Organization
JAMES H NOTTINGHAM JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NOTTINGHAM (OWNER DR)
(757) 623-9545
Entity
Organization
Contact information
Practice address
142 W YORK ST, SUITE 705, NORFOLK, VA 23510-2015
(757) 623-9545
(757) 623-4561
Mailing address
142 W YORK ST, SUITE 705, NORFOLK, VA 23510-2015
(757) 623-9545
(757) 623-4561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006496
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088004
ANTHEM
VA
01
—
545349
UNITED CONCORDIA
VA
Enumeration date
11/16/2006
Last updated
08/22/2020
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