Individual
JASON BURCKHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 WESTERN AVE, SUITE 100, MINOT, ND 58701-3760
(701) 838-1700
Mailing address
700 WESTERN AVE, SUITE 100, MINOT, ND 58701-3760
(701) 838-1700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2240
ND
Other
Enumeration date
03/07/2011
Last updated
06/04/2015
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