Individual
DR. JAMES GUYBERT MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1517 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1222
(606) 248-7661
(606) 242-2749
Mailing address
1517 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1222
(606) 248-7661
(606) 242-2749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
KY4615
KY
1223D0001X
Public Health Dentistry
KY4615
KY
1223G0001X
General Practice Dentistry
Primary
KY4615
KY
Other
Enumeration date
01/22/2007
Last updated
01/10/2012
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