Burdette, Dominique
Burdette, Dominique is an individual health care provider with primary practice located at 301 S J T Stites St , Sallisaw OK 74955-9302. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burdette, Dominique can be contacted via phone (918) 775-9150.Contact Information
Primary practice address
301 S J T Stites St
Sallisaw OK 74955-9302
Phone: (918) 775-9150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | STUDENT | Oklahoma |
Profile Details
| NPI number | 1003437757 |
|---|---|
| LBN Legal business name | Burdette, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2020 |
| Last updated | May 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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