Provider Demographics
NPI:1568540656
Name:DR HARRY BURGER LLC
Entity Type:Organization
Organization Name:DR HARRY BURGER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-332-8278
Mailing Address - Street 1:567 BARTSON RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420
Mailing Address - Country:US
Mailing Address - Phone:419-332-8278
Mailing Address - Fax:419-332-8277
Practice Address - Street 1:567 BARTSON RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420
Practice Address - Country:US
Practice Address - Phone:419-332-8278
Practice Address - Fax:419-332-8277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty