Provider Demographics
NPI:1215949185
Name:BREEDEN, JAMES D (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:BREEDEN
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 1:820 S MCCLELLAN
Mailing Address - Street 2:SUITE 418
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-624-8783
Mailing Address - Fax:509-624-0626
Practice Address - Street 1:820 S MCCLELLAN ST
Practice Address - Street 2:SUITE 418
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2457
Practice Address - Country:US
Practice Address - Phone:509-624-8783
Practice Address - Fax:509-624-0626
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA48331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice