Elyse Nicole Burkert, DDS
Dentist, General Practice in Rockwall, TX. Individual provider (NPI-1).
NPI number1649763194
StatusActive
Last updated in NPPESJun 10, 2018
Details
- NPI
- 1649763194
- Entity type
- Individual (NPI-1)
- Name
- Elyse Nicole Burkert
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2018
- Last updated
- Jun 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 34173 | TX | Yes |
Practice location
2268 N Lake Shore Dr Ste 104Rockwall, TX 75087-0280
Phone 469-616-0507
Mailing address
401 Arborcrest DrRichardson, TX 75080-2607
Phone 972-841-8043
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