Provider Demographics
NPI:1972607539
Name:GOLDEN, JAMES N (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 BETHELVIEW RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-8020
Mailing Address - Country:US
Mailing Address - Phone:678-947-4478
Mailing Address - Fax:678-947-4479
Practice Address - Street 1:6030 BETHELVIEW RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8020
Practice Address - Country:US
Practice Address - Phone:678-947-4478
Practice Address - Fax:678-947-4479
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0100261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice