MEDICARE: DR. JAMES CHARLES BURDEN D.M.D.

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	122300000X	Dentist	DI20888	NJ

General Provider Information

NPI Number	:	1295884039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHARLES BURDEN D.M.D.

Provider Business Mailing Address
First Line	:	377 MILLSTONE RD
Second Line	:
City	:	CLARKSBURG
State	:	NJ
Zip	:	08510-1520
Country	:	US
Telephone Number	:	732-414-1888
Fax Number	:	732-414-1889

Provider Business Practice Location Address
First Line	:	514 HIGHWAY 33
Second Line	:	SUITE 3
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08535-9427
Country	:	US
Telephone Number	:	732-414-1888
Fax Number	:	732-414-1889

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	05/14/2014

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