Provider Demographics
NPI:1285643866
Name:BURGER, JOSPEH ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSPEH
Middle Name:ANDREW
Last Name:BURGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4403
Mailing Address - Country:US
Mailing Address - Phone:724-843-1970
Mailing Address - Fax:724-843-1976
Practice Address - Street 1:1215 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4403
Practice Address - Country:US
Practice Address - Phone:724-843-1970
Practice Address - Fax:724-843-1976
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022024L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist