Burt, Andrew Madison

Burt, Andrew Madison is an sole proprietor health care provider with primary practice located at 546 Park St Suite 400, Bowling Green KY 42101-1780. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Burt, Andrew Madison can be contacted via phone (270) 781-6161.

Contact Information

Primary practice address
546 Park St Suite 400 Bowling Green KY 42101-1780
Phone: (270) 781-6161
Fax: (270) 781-6129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7273 Kentucky
Dental Providers / Dentist 122300000X 7273 Kentucky

Profile Details

NPI number 1104980523
LBN Legal business name Burt, Andrew Madison
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Mar 25th, 2014 - about 11 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 1104980523 NPPES
Kentucky MEDICAID 6007273300

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