Individual
JAMES BURNESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 SISKIYOU BLVD, ASHLAND, OR 97520-2406
(541) 482-7771
(541) 482-9301
Mailing address
1530 SISKIYOU BLVD, ASHLAND, OR 97520-2406
(541) 482-7771
(541) 482-9301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013016377
MO
122300000X
Dentist
61300
KS
1223G0001X
General Practice Dentistry
Primary
D11002
OR
1223G0001X
General Practice Dentistry
DD4461
NM
Other
Enumeration date
06/05/2013
Last updated
05/01/2019
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