Provider Demographics
NPI:1174788053
Name:THURBER, JAMES LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:THURBER
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 1:2712 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1428
Mailing Address - Country:US
Mailing Address - Phone:806-745-6644
Mailing Address - Fax:806-748-1518
Practice Address - Street 1:2712 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1428
Practice Address - Country:US
Practice Address - Phone:806-745-6644
Practice Address - Fax:806-748-1518
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26379122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice