Individual provider · NPI-1

Dr. Donald Raymond Burkhardt, DDS, MS

Dentist, Orthodontics and Dentofacial Orthopedics · Okemos, MI

NPI number1912040544
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1912040544
Entity type
Individual (NPI-1)
Name
Dr. Donald Raymond Burkhardt
Credential
DDS, MS
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics940759MIYes

Practice location

4111 Okemos Rd
Suite 201
Okemos, MI 48864-3235

Phone 517-347-0946 · Fax 517-347-2524

Mailing address

4111 Okemos Rd
Suite 201
Okemos, MI 48864-3235

Phone 517-347-0946 · Fax 517-347-2524

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