Burner, Natisha

Burner, Natisha is an individual health care provider with primary practice located at 21590 Center Ridge Rd , Rocky River OH 44116-3945. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Burner, Natisha can be contacted via phone (440) 333-4623.

Contact Information

Primary practice address
21590 Center Ridge Rd Rocky River OH 44116-3945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN1001630 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X 30.025145 Ohio

Profile Details

NPI number 1730530346
LBN Legal business name Burner, Natisha
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2016
Last updated Nov 14th, 2022 - about 3 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 1730530346 NPPES
Ohio MEDICAID 0236053

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