Burnett, Gordon Berry
Burnett, Gordon Berry is an individual health care provider with primary practice located at 1895 Phoenix Blvd Suite 148, College Park GA 30349-5533. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burnett, Gordon Berry can be contacted via phone (770) 997-4598.Contact Information
Primary practice address
1895 Phoenix Blvd Suite 148
College Park GA 30349-5533
Phone: (770) 997-4598
Fax: (770) 997-6944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN007288 | Georgia |
Profile Details
| NPI number | 1134203219 |
|---|---|
| LBN Legal business name | Burnett, Gordon Berry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 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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