Provider Demographics
NPI:1801959812
Name:BOUNDS, JAMES DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:BOUNDS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:DAVID
Other - Last Name:BOUNDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:424 MELISSA DR.
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531
Mailing Address - Country:US
Mailing Address - Phone:228-388-1032
Mailing Address - Fax:228-388-1032
Practice Address - Street 1:5503 MARVIN SHIELDS BLVD.
Practice Address - Street 2:NAVAL BRANCH HEALTH CLINIC
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501
Practice Address - Country:US
Practice Address - Phone:228-871-2606
Practice Address - Fax:228-388-9552
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1793781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice