Provider Demographics
NPI:1194784017
Name:WEBB, JAMES PETER (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:WEBB
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 1:104 MAIN ST. PLAZA
Mailing Address - Street 2:P. O. BOX 757
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-0757
Mailing Address - Country:US
Mailing Address - Phone:804-541-1896
Mailing Address - Fax:804-452-2988
Practice Address - Street 1:104 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2719
Practice Address - Country:US
Practice Address - Phone:804-541-1896
Practice Address - Fax:804-452-2988
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010056981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice