Provider Demographics
NPI:1104961051
Name:STRATTON, JAMES LESLIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LESLIE
Last Name:STRATTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 BRIARWOOD ST
Mailing Address - Street 2:SUITE #202
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3334
Mailing Address - Country:US
Mailing Address - Phone:907-349-3569
Mailing Address - Fax:907-349-8213
Practice Address - Street 1:8301 BRIARWOOD ST
Practice Address - Street 2:SUITE #202
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3334
Practice Address - Country:US
Practice Address - Phone:907-349-3569
Practice Address - Fax:907-349-8213
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice