Provider Demographics
NPI:1982758975
Name:BURMAN, BECKI LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BECKI
Middle Name:LYNN
Last Name:BURMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 N 15TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-7906
Mailing Address - Country:US
Mailing Address - Phone:307-745-9261
Mailing Address - Fax:307-745-9261
Practice Address - Street 1:1275 N 15TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-7906
Practice Address - Country:US
Practice Address - Phone:307-745-9261
Practice Address - Fax:307-745-9261
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY8911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice