MEDICARE: DR. SUE JAMES DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6425	CO

General Provider Information

NPI Number	:	1962405712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUE JAMES DDS

Provider Business Mailing Address
First Line	:	9351 GRANT ST
Second Line	:	STE 340
City	:	DENVER
State	:	CO
Zip	:	80229-4365
Country	:	US
Telephone Number	:	303-254-4484
Fax Number	:	303-254-9658

Provider Business Practice Location Address
First Line	:	9351 GRANT ST
Second Line	:	STE 340
City	:	DENVER
State	:	CO
Zip	:	80229-4365
Country	:	US
Telephone Number	:	303-254-4484
Fax Number	:	303-254-9658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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