Individual provider · NPI-1

Dr. Patricia A Burness, D.D.S.

Dentist, General Practice · Mount Clemens, MI

NPI number1154472959
StatusActive
Last updated in NPPESJun 28, 2022

Details

NPI
1154472959
Entity type
Individual (NPI-1)
Name
Dr. Patricia A Burness
Credential
D.D.S.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 16, 2007
Certification date
Jun 28, 2022
Last updated
Jun 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2901015127MIYes

Practice location

1448 Southbound Gratiot Ave
Mount Clemens, MI 48043-6533

Phone 586-954-3840 · Fax 586-954-3843

Mailing address

1448 Southbound Gratiot Ave
Mount Clemens, MI 48043-6533

Phone 586-954-3840 · Fax 586-954-3843

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