Provider Demographics
NPI:1528221314
Name:BURMASTER, MARIA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:R
Last Name:BURMASTER
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 1:2272 BARATARIA BLVD
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-5402
Mailing Address - Country:US
Mailing Address - Phone:504-341-3120
Mailing Address - Fax:504-347-6696
Practice Address - Street 1:2272 BARATARIA BLVD
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-5402
Practice Address - Country:US
Practice Address - Phone:504-341-3120
Practice Address - Fax:504-347-6696
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA46821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice