Provider Demographics
NPI:1245643527
Name:BUR-DENT SERVICES, INC.
Entity type:Organization
Organization Name:BUR-DENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-414-1888
Mailing Address - Street 1:377 MILLSTONE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1520
Mailing Address - Country:US
Mailing Address - Phone:732-414-1888
Mailing Address - Fax:732-414-1889
Practice Address - Street 1:514 STATE ROUTE 33
Practice Address - Street 2:SUITE 3
Practice Address - City:MILLSTONE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08535-9427
Practice Address - Country:US
Practice Address - Phone:732-414-1888
Practice Address - Fax:732-414-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI0288800261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1295884039OtherPRIMARY NPI