=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932322039
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES STEVEN BURNHAM DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 01/22/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11400 GULF FREEWAY, SUITE H OCEAN DENTAL
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-946-2488
-----------------------------------------------------
Fax | 713-946-1369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11400 GULF FREEWAY, SUITE H OCEAN DENTAL
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-946-2488
-----------------------------------------------------
Fax | 713-946-1369
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 10295
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------