Provider Demographics
NPI:1720598949
Name:BURNS, ALYSSA CHRISTINE MEISTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:CHRISTINE MEISTER
Last Name:BURNS
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 1:62 CORPORATE PARK STE 210
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-3130
Mailing Address - Country:US
Mailing Address - Phone:949-887-6121
Mailing Address - Fax:
Practice Address - Street 1:62 CORPORATE PARK STE 210
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3130
Practice Address - Country:US
Practice Address - Phone:949-887-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1015221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice