Provider Demographics
NPI:1104811702
Name:JAMES, DENNIS G JR (DC)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:G
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3877 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:SUITE 35
Mailing Address - City:ST PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6424
Mailing Address - Country:US
Mailing Address - Phone:636-926-8858
Mailing Address - Fax:636-922-1808
Practice Address - Street 1:3877 VETERANS MEMORIAL PKWY
Practice Address - Street 2:SUITE 35
Practice Address - City:ST PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6424
Practice Address - Country:US
Practice Address - Phone:636-926-8858
Practice Address - Fax:636-922-1808
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO448300OtherHEALTHLINK
MO142909OtherBLUE CROSS/BLUE SHIELD
MO44-00041OtherUNITED HEALTHCARE
MO120488OtherGHP
MO120488OtherGHP