Provider Demographics
NPI:1669436903
Name:BURNS, CHRISTOPHER DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:BURNS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 S GOVERNORS AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4115
Mailing Address - Country:US
Mailing Address - Phone:302-674-8331
Mailing Address - Fax:302-674-4342
Practice Address - Street 1:871 S GOVERNORS AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4115
Practice Address - Country:US
Practice Address - Phone:302-674-8331
Practice Address - Fax:302-674-4342
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE10061223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000909208Medicaid
DE0000909208Medicaid
DE0000909208Medicaid