Provider Demographics
NPI:1730276106
Name:SELECMAN, JAMES BENTON (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BENTON
Last Name:SELECMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:826 BAYOU VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364
Mailing Address - Country:US
Mailing Address - Phone:870-739-3364
Mailing Address - Fax:
Practice Address - Street 1:2028 W POPLAR AVE
Practice Address - Street 2:STE 110
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0618
Practice Address - Country:US
Practice Address - Phone:901-861-9668
Practice Address - Fax:901-861-9582
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN85011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry