Burdyn, William E

Burdyn, William E is an sole proprietor health care provider with primary practice located at 354 Main St , Dickson City PA 18519-1620. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burdyn, William E can be contacted via phone (570) 489-2232.

Contact Information

Primary practice address
354 Main St Dickson City PA 18519-1620
Fax: (570) 489-4203
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DSO28539L Pennsylvania

Profile Details

NPI number 1225056534
LBN Legal business name Burdyn, William E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225056534 NPPES
Pennsylvania Other 44729 UNITED CONCORDIA PROVIDER
Pennsylvania MEDICAID 1033888260001 UNITED CONCORDIA PROVIDER

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