Burnett, Dallin C

Burnett, Dallin C is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Burnett, Dallin C can be contacted via phone (509) 933-2400.

Contact Information

Primary practice address
521 E Mountain View Ave Ellensburg WA 98926-3865
Phone: (509) 933-2400
Fax: (509) 933-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60655110 Washington

Profile Details

NPI number 1124472527
LBN Legal business name Burnett, Dallin C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Sep 9th, 2019 - about 6 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 1124472527 NPPES
Washington MEDICAID 2061411

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