Provider Demographics
NPI:1871514059
Name:CASTLE DENTAL, P.C.
Entity type:Organization
Organization Name:CASTLE DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-282-2249
Mailing Address - Street 1:5596 ROUTE 309
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-9515
Mailing Address - Country:US
Mailing Address - Phone:610-282-2249
Mailing Address - Fax:610-282-3329
Practice Address - Street 1:5596 ROUTE 309
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-9515
Practice Address - Country:US
Practice Address - Phone:610-282-2249
Practice Address - Fax:610-282-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0206271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty