Individual
JEFFREY A BURNS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
933 HARTFORD TPKE, VERNON, CT 06066-4407
(860) 870-4410
(860) 870-2567
Mailing address
933 HARTFORD TPKE, VERNON, CT 06066-4407
(860) 870-4410
(860) 870-2567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007067CT02
BLUE CROSS FEDERAL ID #
CT
Enumeration date
08/25/2005
Last updated
07/08/2007
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