Burke, Denzer
Burke, Denzer is an sole proprietor health care provider with primary practice located at 1421 Pine St. , Texarkana TX 75501-4413. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burke, Denzer can be contacted via phone (903) 794-9741.Contact Information
Primary practice address
1421 Pine St.
Texarkana TX 75501-4413
Phone: (903) 794-9741
Fax: (903) 794-9741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 007211 | Texas |
Profile Details
| NPI number | 1134240468 |
|---|---|
| LBN Legal business name | Burke, Denzer |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1134240468 | NPPES |
| Texas | Other | D138722 | CIGNA OFFICE ID |
| Texas | MEDICAID | 0080707 | CIGNA OFFICE ID |
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