Provider Demographics
NPI:1588706956
Name:EMBRY, JAMES BYRON (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BYRON
Last Name:EMBRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 PROSPEROUS PL
Mailing Address - Street 2:9A
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1803
Mailing Address - Country:US
Mailing Address - Phone:859-263-5040
Mailing Address - Fax:859-263-5045
Practice Address - Street 1:121 PROSPEROUS PL
Practice Address - Street 2:9A
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1803
Practice Address - Country:US
Practice Address - Phone:859-263-5040
Practice Address - Fax:859-263-5045
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY4579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist