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
Fax: (903) 794-9741
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1134240468 NPPES
Texas Other D138722 CIGNA OFFICE ID
Texas MEDICAID 0080707 CIGNA OFFICE ID

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