Burr, Mary Ann

Burr, Mary Ann is an individual health care provider with primary practice located at 752 E Main St 3Rd Floor, Bridgeport CT 06608-2335. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Burr, Mary Ann can be contacted via phone (203) 576-7441.

Contact Information

Primary practice address
752 E Main St 3Rd Floor Bridgeport CT 06608-2335
Fax: (203) 576-8311
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 002031 Connecticut

Profile Details

NPI number 1619013760
LBN Legal business name Burr, Mary Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1619013760 NPPES
Connecticut Other 0012730 PROVIDER NUMBER

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