Individual provider · Type 1 NPI

James Wallace Brantley Jr., DMD

General Practice Dentistry · Jackson, MS

NPI number 1447469622 Active

About NPI 1447469622

James Wallace Brantley Jr., DMD's National Provider Identifier is 1447469622, issued on May 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.