Individual
DR. JAMES PATRICK JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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 NO
VA
01
—
236209
ANTHEM BCBS PROVIDER NO
VA
Enumeration date
03/08/2007
Last updated
03/07/2023
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