Individual
DR. JAMES J SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
30 BLUEBERRY RD, FREEPORT, FL 32439-3016
(850) 835-4127
Mailing address
1361 WINDWARD LN, NICEVILLE, FL 32578-4332
(850) 865-6703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5832 CL
AL
122300000X
Dentist
Primary
DN21060
FL
Other
Enumeration date
06/21/2012
Last updated
06/15/2022
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