Provider Demographics
NPI:1255852190
Name:JAMES, JENNIFER DUNHAM (MBA, DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DUNHAM
Last Name:JAMES
Suffix:
Gender:F
Credentials:MBA, DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 KIPLING ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4406
Mailing Address - Country:US
Mailing Address - Phone:312-636-5584
Mailing Address - Fax:
Practice Address - Street 1:2734 SUNRISE BLVD STE 302
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8709
Practice Address - Country:US
Practice Address - Phone:281-854-2960
Practice Address - Fax:281-854-2960
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328371223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty