Provider Demographics
NPI:1831486331
Name:KURIAN, JAMIE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:A
Last Name:KURIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 KENDALL HILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4521
Mailing Address - Country:US
Mailing Address - Phone:561-827-4322
Mailing Address - Fax:
Practice Address - Street 1:5738 KENDALL HILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4521
Practice Address - Country:US
Practice Address - Phone:561-827-4322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 197711223G0001X
390200000X
TX294691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program