Provider Demographics
NPI:1831365352
Name:BURNS, NIKIA R (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:NIKIA
Middle Name:R
Last Name:BURNS
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2543
Mailing Address - Country:US
Mailing Address - Phone:724-833-0417
Mailing Address - Fax:724-941-0467
Practice Address - Street 1:4050 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2543
Practice Address - Country:US
Practice Address - Phone:724-833-0417
Practice Address - Fax:724-941-0467
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0371281223X0400X
FLDN171251223X0400X
WV36891223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics