Individual
CHARLES BURCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2024 W HENRIETTA RD STE 5J, ROCHESTER, NY 14623-1360
(585) 292-1270
Mailing address
601 ELMWOOD AVE # 705, ROCHESTER, NY 14642-0001
(585) 275-9004
(585) 276-1883
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
04490
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
061194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020334854
—
NH
05
—
1013885
—
VT
Enumeration date
04/27/2015
Last updated
08/18/2022
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