Individual
MICHELLE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045168
PA
1223P0300X
Periodontics
DS045168
PA
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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