Dwayne Robert Burbach in Atascadero - General Practice

Dwayne Robert Burbach - NPI 1972729077

Dwayne Robert Burbach is a General Practice in Atascadero, California. Dwayne Robert Burbach practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dwayne Robert Burbach is 1972729077. The last update date is 2007-07-08.

Dwayne Robert Burbach's current location address is 7005 Atascadero Ave, Atascadero, California. You can contact this provider via phone number 8054663328 and fax number 8054660824. The mailing address for Dwayne Robert Burbach is 7005 Atascadero Ave, Atascadero, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwayne Robert Burbach
Address 7005 Atascadero Ave, Atascadero, California
Phone Number 8054663328
Fax Number 8054660824
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1972729077
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7005 Atascadero Ave
City Atascadero
State California (CA)
Post Code 934224431
Phone Number 8054663328
Fax Number 8054660824

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 28846
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28846 CA STATE LICENSE NUMBER

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FAQs about Dwayne Robert Burbach

What is the unique 10-digit identifier code issued to Dwayne Robert Burbach by the Centers for Medicare & Medicaid Services?

The Dwayne Robert Burbach has been assigned the NPI (National Provider Identifier) 1972729077 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Dwayne Robert Burbach?

The Dwayne Robert Burbach is situated at 7005 Atascadero Ave, in the city of Atascadero, state of CA, with the zip code 934224431.

What is Dwayne Robert Burbach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dwayne Robert Burbach's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1972729077 to Dwayne Robert Burbach?

The Dwayne Robert Burbach received its 1972729077 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date was the information pertaining to Dwayne Robert Burbach, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dwayne Robert Burbach, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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