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Individual

DR. JAMES C BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSED, PHD

Contact information

Practice address
520 N 12TH ST, RICHMOND, VA 23219-1610
(804) 828-3630
Mailing address
PO BOX 980566, RICHMOND, VA 23298-0566

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
0401004205
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179780
ANTHEM ID #
VA
01
P00380317
RAILROAD MEDICARE
Enumeration date
04/13/2006
Last updated
11/15/2007
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