Individual
ASHLEY E BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
350 SHARON NEW CASTLE RD, FARRELL, PA 16121
(724) 981-1721
(724) 704-7418
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 981-1721
(724) 981-7025
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH069365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034997450001
—
PA
05
—
1034997450002
—
PA
Enumeration date
01/09/2009
Last updated
08/16/2019
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