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Organization

BURNS FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID EDWARD BURNS DDS (OWNER/DENTIST)
(317) 773-4526
Entity
Organization

Contact information

Practice address
128 LAKEVIEW DR, NOBLESVILLE, IN 46060-1307
(317) 773-4526
(317) 773-4572
Mailing address
128 LAKEVIEW DR, NOBLESVILLE, IN 46060-1307
(317) 773-4526
(317) 773-4572

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007453A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100125410A
IN
05
200842660
IN
Enumeration date
03/11/2015
Last updated
12/27/2016
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