Provider Demographics
NPI:1306852819
Name:DR. THOMAS J. BURNS, JR., DDS,PA
Entity Type:Organization
Organization Name:DR. THOMAS J. BURNS, JR., DDS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-588-0666
Mailing Address - Street 1:2273 HIGHWAY 33
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HAMILTON SQ
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1747
Mailing Address - Country:US
Mailing Address - Phone:609-588-0666
Mailing Address - Fax:609-588-0421
Practice Address - Street 1:2273 HIGHWAY 33
Practice Address - Street 2:SUITE 201
Practice Address - City:HAMILTON SQ
Practice Address - State:NJ
Practice Address - Zip Code:08690-1747
Practice Address - Country:US
Practice Address - Phone:609-588-0666
Practice Address - Fax:609-588-0421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ139371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty