Provider Demographics
NPI:1952456113
Name:ALL VALLEY DENTAL ASSOCIATES, LLP
Entity Type:Organization
Organization Name:ALL VALLEY DENTAL ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-686-5577
Mailing Address - Street 1:4800 S. 23RD ST.,
Mailing Address - Street 2:STE. 11
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-8694
Mailing Address - Country:US
Mailing Address - Phone:956-683-1600
Mailing Address - Fax:
Practice Address - Street 1:4800 S. 23RD ST.,
Practice Address - Street 2:STE. #11
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-8694
Practice Address - Country:US
Practice Address - Phone:956-683-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty