# NORMA U. BURNLEY,D.D.S.,D.M.D.,LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burnley Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245442706
- **Authorized official:** DR. NORMA UBALDE BURNLEY D.D.S.,D.M.D. (OWNER)
- **Authorized official phone:** (702) 891-0079

## Contact information

- **Practice address:** 5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
- **Practice address phone:** (702) 891-0079
- **Practice address fax:** (702) 891-0455
- **Mailing address:** 5140 S EASTERN AVE, LAS VEGAS, NV 89119-2305
- **Mailing address phone:** (702) 891-0079
- **Mailing address fax:** (702) 891-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1022 | NV | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1022 | STATE DENTAL LICENSE NO. | NV |
| 01 | — | 885552 | UNITED CONCORDIA PROVIDER | NV |