Burckhard Orthodontics, PLLC
Clinic/Center, Dental in Minot, ND. Organization (NPI-2).
NPI number1902284573
StatusActive
Last updated in NPPESMay 14, 2015
Details
- NPI
- 1902284573
- Entity type
- Organization (NPI-2)
- Legal business name
- Burckhard Orthodontics, PLLC
- Organization subpart
- No
- Enumeration date
- May 14, 2015
- Last updated
- May 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2240 | ND | Yes |
Other names
- Burckhard Orthodontics (Doing Business As)
Practice location
700 Western AveSuite 100
Minot, ND 58701-3760
Phone 701-838-1700
Mailing address
700 Western AveSuite 100
Minot, ND 58701-3760
Phone 701-838-1700
Authorized official
Jason Burckhard
Owner/Orthodontist
7018381700
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