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Dr. Edward P. Burvant,jr., D.D.S.

Dentist, General Practice in Covington, LA. Individual provider (NPI-1).

NPI number1417010273
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1417010273
Entity type
Individual (NPI-1)
Name
Dr. Edward P. Burvant,jr.
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2347LAYes

Practice location

601 W 18th Ave
Covington, LA 70433-3064

Phone 985-892-2403 · Fax 985-892-4216

Mailing address

919 Old Landing Rd
Covington, LA 70433-4333

Phone 985-892-1081 · Fax 985-892-4216

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