J Mark Burnett Dds Ps in University Place - General Practice

J Mark Burnett Dds Ps - NPI 1679679674

J Mark Burnett Dds Ps is a General Practice in University Place, Washington. J Mark Burnett Dds Ps practices all healthcare services and medical treatments related to General Practice. The NPI Number for J Mark Burnett Dds Ps is 1679679674. The last update date is 2020-08-22.

J Mark Burnett Dds Ps's current location address is 2603 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2535651181. The mailing address for J Mark Burnett Dds Ps is 2603 Bridgeport Way W, University Place, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Mark Burnett Dds Ps
Address 2603 Bridgeport Way W, University Place, Washington
Phone Number 2535651181
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Burnett Mark J
Credentials DDS
Telephone Number 2535651181

NPI Number Detail

NPI Number 1679679674
Provider Enumeration Date 2006-09-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2603 Bridgeport Way W
City University Place
State Washington (WA)
Post Code 984664724
Phone Number 2535651181
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4322
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
5005087 WA --
19571 WA LABOR & INDUSTRIES

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FAQs about J Mark Burnett Dds Ps

What is the unique 10-digit identification code assigned to J Mark Burnett Dds Ps by the Centers for Medicare & Medicaid Services?

The J Mark Burnett Dds Ps has been issued the NPI (National Provider Identifier) 1679679674, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where J Mark Burnett Dds Ps is located?

The J Mark Burnett Dds Ps is situated at the following address: 2603 Bridgeport Way W, University Place, WA, 984664724.

What is J Mark Burnett Dds Ps's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for J Mark Burnett Dds Ps is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the J Mark Burnett Dds Ps receive its 1679679674 assignment from the Centers for Medicare & Medicaid Services?

The J Mark Burnett Dds Ps was assigned its 1679679674 by the Centers for Medicare & Medicaid Services on 2006-09-16.

When was the information regarding J Mark Burnett Dds Ps most recently updated?

The details pertaining to the J Mark Burnett Dds Ps, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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