Edgren, Burdett Russell
Edgren, Burdett Russell is an individual health care provider with primary practice located at 3400 W 16Th St Bldg 4-V, Greeley CO 80634-6862. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Edgren, Burdett Russell can be contacted via phone (970) 356-5900.Contact Information
Primary practice address
3400 W 16Th St Bldg 4-V
Greeley CO 80634-6862
Phone: (970) 356-5900
Fax: (970) 356-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 161 | Colorado |
Profile Details
| NPI number | 1720291560 |
|---|---|
| LBN Legal business name | Edgren, Burdett Russell |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| 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.
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