Larry David Burnside in Jacksonville - Dentist
Larry David Burnside - NPI 1306917588
Larry David Burnside is a Dentist in Jacksonville, Florida. Larry David Burnside practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larry David Burnside is 1306917588. The last update date is 2007-07-08.
Larry David Burnside's current location address is 12708 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9042680904 and fax number 9042680306. The mailing address for Larry David Burnside is 12708 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry David Burnside |
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Address | 12708 San Jose Blvd, Jacksonville, Florida |
Phone Number | 9042680904 |
Fax Number | 9042680306 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1306917588 |
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Provider Enumeration Date | 2006-11-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 12708 San Jose Blvd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322232689 |
Phone Number | 9042680904 |
Fax Number | 9042680306 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 7825 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Post Comment/ Review Below
What is the unique identifier code issued to Larry David Burnside by the Centers for Medicare & Medicaid Services (CMS)?
The Larry David Burnside has been assigned the NPI (National Provider Identifier) 1306917588. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Larry David Burnside's facilities are situated?
The facilities of Larry David Burnside are physically located at the following address: 12708 San Jose Blvd, Jacksonville, FL, 322232689.
What is Larry David Burnside's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry David Burnside's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Larry David Burnside receive its 1306917588?
The Larry David Burnside was issued its 1306917588 on 2006-11-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Larry David Burnside most recently updated or refreshed?
The details pertaining to the Larry David Burnside, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.