Provider Demographics
NPI:1295884039
Name:BURDEN, JAMES CHARLES (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHARLES
Last Name:BURDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:377 MILLSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1520
Mailing Address - Country:US
Mailing Address - Phone:732-414-1888
Mailing Address - Fax:732-414-1889
Practice Address - Street 1:514 HIGHWAY 33
Practice Address - Street 2:SUITE 3
Practice Address - City:MILLSTONE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08535-9427
Practice Address - Country:US
Practice Address - Phone:732-414-1888
Practice Address - Fax:732-414-1889
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI20888122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist