James Lonnie Helton III, D.M.D.

Individual provider Active NPI General Practice Dentistry · Eufaula, AL

NPI 1003973520 · NPPES record last updated Sep 6, 2012

Key facts

NPI
1003973520
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
4847 (AL)
Practice address
623 E Broad St
Eufaula, AL 36027-1710
Phone
(334) 687-4741
Fax
(334) 687-0869
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4847ALMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4847 AL Yes

Addresses

Primary practice location

623 E Broad St
Eufaula, AL 36027-1710

Mailing address

238 Sanford Ave
Eufaula, AL 36027-1426
Phone (334) 687-6106

Other identifiers

IdentifierTypeStateIssuer
009940170MedicaidAL

Other providers in Eufaula, AL

All providers in Eufaula, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.