Individual
DR. MICHAEL ALLAN BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
300 E 128TH AVE, THORNTON, CO 80241-2427
(303) 451-6767
(303) 451-5908
Mailing address
300 E 128TH AVE, THORNTON, CO 80241-2427
(303) 451-6767
(303) 451-5908
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9258
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DR-45157
CO
Other
Enumeration date
12/06/2006
Last updated
03/06/2013
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