Healthcare Provider Details

I. General information

NPI: 1144334327
Provider Name (Legal Business Name): JAMES L BURNE DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 ORCHARD ST
SCRANTON PA
18505-1257
US

IV. Provider business mailing address

444 ORCHARD ST
SCRANTON PA
18505-1257
US

V. Phone/Fax

Practice location:
  • Phone: 570-342-7868
  • Fax: 570-342-5098
Mailing address:
  • Phone: 570-342-7868
  • Fax: 570-342-5098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDSO16349L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JAMES L BURNE
Title or Position: PRESIDENT
Credential: DDS
Phone: 570-342-7868