Tijerina-Burleson, Yvonne
Tijerina-Burleson, Yvonne is an individual health care provider with primary practice located at 4000 Ambassador Dr , Anchorage AK 99508-5909. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Tijerina-Burleson, Yvonne can be contacted via phone (907) 563-2662.Contact Information
Primary practice address
4000 Ambassador Dr
Anchorage AK 99508-5909
Phone: (907) 563-2662
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 23263 | Texas |
Dental Providers / General Practice | 1223G0001X | 23263 | Texas |
Dental Providers / General Practice | 1223G0001X | 1394 | Alaska |
Profile Details
NPI number | 1750579512 |
---|---|
LBN Legal business name | Tijerina-Burleson, Yvonne |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2007 |
Last updated | Oct 27th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750579512 | NPPES |
Texas | MEDICAID | 185728601 |
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