MEDICARE: DR. JENNIFER DUNHAM JAMES M.B.A., D.M.D., M.S.

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	1223P0300X	Periodontics	32837	TX

General Provider Information

NPI Number	:	1255852190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER DUNHAM JAMES M.B.A., D.M.D., M.S.

Provider Business Mailing Address
First Line	:	708 KIPLING ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4406
Country	:	US
Telephone Number	:	312-636-5584
Fax Number	:

Provider Business Practice Location Address
First Line	:	2734 SUNRISE BLVD STE 302
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8709
Country	:	US
Telephone Number	:	281-854-2960
Fax Number	:	281-854-2960

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

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	07/21/2022

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