Provider Demographics
NPI:1013000397
Name:BURNS, DONNA ALLEN (DDS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:ALLEN
Last Name:BURNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 HUGUENOT RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2485
Mailing Address - Country:US
Mailing Address - Phone:804-794-4644
Mailing Address - Fax:804-794-0850
Practice Address - Street 1:1507 HUGUENOT RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2485
Practice Address - Country:US
Practice Address - Phone:804-794-4644
Practice Address - Fax:804-794-0850
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010065261223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics