Individual
JANICE MARIE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
Mailing address
22180 PONTIAC TRL STE CD, SOUTH LYON, MI 48178-9097
(248) 216-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601524
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/17/2021
Last updated
07/31/2025
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