Individual
NADER DOUGLAS BURPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1618 W MAIN ST, SALEM, VA 24153-3116
(540) 389-0720
Mailing address
1618 W MAIN ST, SALEM, VA 24153-3116
(540) 389-0720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416524
VA
1223D0001X
Public Health Dentistry
0401416524
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
09/21/2022
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