Provider Demographics
NPI:1285897462
Name:SPURLING, JAMES BRUCE (DMD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRUCE
Last Name:SPURLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 MONUMENT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225
Mailing Address - Country:US
Mailing Address - Phone:904-641-0651
Mailing Address - Fax:904-642-6797
Practice Address - Street 1:2500 MONUMENT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-4558
Practice Address - Country:US
Practice Address - Phone:904-641-0651
Practice Address - Fax:904-642-6797
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8276122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist