Provider Demographics
NPI:1811905979
Name:BURCHFIELD, JOHN RONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RONALD
Last Name:BURCHFIELD
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2373
Mailing Address - Country:US
Mailing Address - Phone:303-279-3992
Mailing Address - Fax:303-279-6455
Practice Address - Street 1:2007 JACKSON ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2373
Practice Address - Country:US
Practice Address - Phone:303-279-3992
Practice Address - Fax:303-279-6455
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04013546Medicaid