Burnett, Spencer Drew

Burnett, Spencer Drew is an individual health care provider with primary practice located at Phoenix Indian Medical Center Att: Dental 4212 N. 16Th Street, Phoenix AZ 85016. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Burnett, Spencer Drew can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
Phoenix Indian Medical Center Att: Dental 4212 N. 16Th Street Phoenix AZ 85016
Phone: (602) 263-1200
Fax: (602) 263-1608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN12282 Florida

Profile Details

NPI number 1851487987
LBN Legal business name Burnett, Spencer Drew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851487987 NPPES
Arizona Other AZ0419140 BLUE CROSS/BLUE SHIELD
Arizona MEDICAID 621393 BLUE CROSS/BLUE SHIELD

Popular Providers