Individual
DR. JAMES WATSON BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1605 E 19TH ST, EDMOND, OK 73013-6621
(405) 341-6622
Mailing address
1605 SE 19TH ST, EDMOND, OK 73013-6621
(405) 341-6622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3658
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3658
STATE LICENSE
OK
Enumeration date
06/08/2006
Last updated
07/08/2007
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