Burdo, Gregory
Burdo, Gregory is an individual health care provider with primary practice located at 3 Ainsley Ct , Newtown PA 18940-4230. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Burdo, Gregory can be contacted via phone (215) 497-8339.Contact Information
Primary practice address
3 Ainsley Ct
Newtown PA 18940-4230
Phone: (215) 497-8339
Fax: (215) 513-7192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DS036098 | Pennsylvania |
Profile Details
| NPI number | 1124189980 |
|---|---|
| LBN Legal business name | Burdo, Gregory |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jun 17th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124189980 | NPPES |
| Pennsylvania | MEDICAID | 101703527 |
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