Provider Demographics
NPI:1033238340
Name:DUNHAM, JAMES T (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:DUNHAM
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 1:3255 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3304
Mailing Address - Country:US
Mailing Address - Phone:206-935-0100
Mailing Address - Fax:206-935-1300
Practice Address - Street 1:3255 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3304
Practice Address - Country:US
Practice Address - Phone:206-935-0100
Practice Address - Fax:206-935-1300
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice