Jerry L. Burd in Beaumont - Periodontics

Jerry L. Burd - NPI 1558575639

Jerry L. Burd is a Periodontics in Beaumont, Texas. Jerry L. Burd practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerry L. Burd is 1558575639. The last update date is 2007-07-08.

Jerry L. Burd's current location address is 3555 Delaware St, Beaumont, Texas. You can contact this provider via phone number 4098983388 and fax number 4098982673. The mailing address for Jerry L. Burd is 3555 Delaware St, Beaumont, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry L. Burd
Address 3555 Delaware St, Beaumont, Texas
Phone Number 4098983388
Fax Number 4098982673
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1558575639
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3555 Delaware St
City Beaumont
State Texas (TX)
Post Code 777063033
Phone Number 4098983388
Fax Number 4098982673

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 12101
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Jerry L. Burd

What is the Jerry L. Burd's unique identification number?

The Jerry L. Burd has been assigned the NPI (National Provider Identifier) Number 1558575639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jerry L. Burd?

The Jerry L. Burd is physically situated at 3555 Delaware St, in the city of Beaumont, state of TX, with the postal code 777063033.

What is Jerry L. Burd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerry L. Burd is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Jerry L. Burd receive its 1558575639 assignment from the Centers for Medicare & Medicaid Services?

The Jerry L. Burd was assigned its 1558575639 by the Centers for Medicare & Medicaid Services on 2007-05-09.

As of what date were the details related to Jerry L. Burd most recently updated or revised?

The information pertaining to Jerry L. Burd, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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