Provider Demographics
NPI:1063539898
Name:WILLIAM JAMES KEMP, JR. DDS, INC
Entity type:Organization
Organization Name:WILLIAM JAMES KEMP, JR. DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KEMP
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:806-376-4770
Mailing Address - Street 1:821 MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79107-6813
Mailing Address - Country:US
Mailing Address - Phone:806-376-4770
Mailing Address - Fax:806-376-7737
Practice Address - Street 1:821 MARTIN RD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-6813
Practice Address - Country:US
Practice Address - Phone:806-376-4770
Practice Address - Fax:806-376-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty