Burnett, Kent Douglas

Burnett, Kent Douglas is an individual health care provider with primary practice located at 1711 Nw Grant Ave , Corvallis OR 97330. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Burnett, Kent Douglas can be contacted via phone (541) 754-1668.

Contact Information

Primary practice address
1711 Nw Grant Ave Corvallis OR 97330
Phone: (541) 754-1668
Fax: (541) 758-3010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7437 Oregon
Dental Providers / General Practice 1223G0001X D7437 Oregon

Profile Details

NPI number 1639266570
LBN Legal business name Burnett, Kent Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 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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