Provider Demographics
NPI:1184290298
Name:BURKAN, ROZAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ROZAN
Middle Name:
Last Name:BURKAN
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 1:6830 S TOLEDO AVE UNIT 330
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-4722
Mailing Address - Country:US
Mailing Address - Phone:918-730-8304
Mailing Address - Fax:
Practice Address - Street 1:5510 E 41ST ST STE C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6037
Practice Address - Country:US
Practice Address - Phone:918-641-4635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK74171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice