Provider Demographics
NPI:1932322039
Name:BURNHAM, JAMES STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVEN
Last Name:BURNHAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 GULF FREEWAY, SUITE H
Mailing Address - Street 2:OCEAN DENTAL
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034
Mailing Address - Country:US
Mailing Address - Phone:713-946-2488
Mailing Address - Fax:713-946-1369
Practice Address - Street 1:11400 GULF FREEWAY, SUITE H
Practice Address - Street 2:OCEAN DENTAL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034
Practice Address - Country:US
Practice Address - Phone:713-946-2488
Practice Address - Fax:713-946-1369
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10295122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist