Provider Demographics
NPI:1124144969
Name:PRITCHARD, JAMES BUSH (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BUSH
Last Name:PRITCHARD
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 1:670 W ARAPAHO RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4213
Mailing Address - Country:US
Mailing Address - Phone:972-680-8484
Mailing Address - Fax:972-437-3515
Practice Address - Street 1:670 W ARAPAHO RD
Practice Address - Street 2:SUITE 3
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4213
Practice Address - Country:US
Practice Address - Phone:972-680-8484
Practice Address - Fax:972-437-3515
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist