Provider Demographics
NPI:1265857429
Name:JOHN D BURKART, DDS PC
Entity Type:Organization
Organization Name:JOHN D BURKART, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-693-7330
Mailing Address - Street 1:13731 E RICE PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1063
Mailing Address - Country:US
Mailing Address - Phone:303-693-7330
Mailing Address - Fax:303-693-7341
Practice Address - Street 1:13731 E RICE PL
Practice Address - Street 2:SUITE 100
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1063
Practice Address - Country:US
Practice Address - Phone:303-693-7330
Practice Address - Fax:303-693-7341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5470261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental