Tad Wylie Burzynski is a Denturist in Bend, Oregon. Tad Wylie Burzynski practices all healthcare services and medical treatments related to Denturist. The NPI Number for Tad Wylie Burzynski is 1083825962. The last update date is 2007-07-08.
Tad Wylie Burzynski's current location address is 853 Ne 4th St., Bend, Oregon. You can contact this provider via phone number 5413897485 and fax number 5413220557. The mailing address for Tad Wylie Burzynski is 853 Ne 4th St., Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tad Wylie Burzynski |
|---|---|
| Address | 853 Ne 4th St., Bend, Oregon |
| Phone Number | 5413897485 |
| Fax Number | 5413220557 |
| Sole Proprietor | Y |
| Credentials | L.D., R.D. |
NPI Number Detail
| NPI Number | 1083825962 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 853 Ne 4th St. |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 97701 |
| Phone Number | 5413897485 |
| Fax Number | 5413220557 |
Provider's Primary Taxonomy Detail
| Speciality | Denturist |
|---|---|
| Taxonomy | 122400000X |
| Licence No | DT-DO 557317 |
|
Definition: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tad Wylie Burzynski by the Centers for Medicare & Medicaid Services?
The Tad Wylie Burzynski has been assigned the NPI (National Provider Identifier) 1083825962 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Tad Wylie Burzynski located?
The Tad Wylie Burzynski is located at 853 Ne 4Th St., Bend, OR 97701.
What is Tad Wylie Burzynski's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tad Wylie Burzynski is Denturist, and the corresponding taxonomy classification code for this specialized field is 122400000X.
On what date did Tad Wylie Burzynski receive its 1083825962 assignment from the Centers for Medicare & Medicaid Services?
The Tad Wylie Burzynski was assigned its 1083825962 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tad Wylie Burzynski most recently updated or revised?
The information pertaining to Tad Wylie Burzynski, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA