Organization
DR. JAMES P. JULIAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PATRICK JULIAN D.D.S. (PRESIDENT)
(276) 634-0071
Entity
Organization
Contact information
Practice address
904 BROOKDALE STREET, UPPER LEVEL, MARTINSVILLE, VA 24112
(276) 634-0071
(276) 634-0074
Mailing address
PO BOX 3786, MARTINSVILLE, VA 24115-3786
(276) 634-0071
(276) 634-0074
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401005488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401005488
STATE LICENSE NUMBER
VA
01
—
236209
ANTHEM BCBS PROVIDER NO
VA
Enumeration date
03/08/2007
Last updated
03/07/2023
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