- Practice location
- 853 NE 4TH St, Bend, OR 97701-4709
- Phone
- 541-389-7485
- Fax
- 541-322-0557
- Last updated
- July 8, 2007
Tad Wylie Burzynski is a Denturist based in Bend, OR. Tad Wylie Burzynski practices in Bend, OR and has the professional credentials of LD, RDH. The NPI Number for Tad Wylie Burzynski is 1083825962 and holds a License No. DT-DO 557317 (OR). The current practice location address for Tad Wylie Burzynski is 853 NE 4TH St, Bend, OR 97701-4709 and can be reached out via phone at 541-389-7485 and via fax at 541-322-0557.
Provider Profile Details
- NPI Number
- 1083825962
- Provider Name
- Tad Wylie Burzynski
- Credential
- LD, RDH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 853 NE 4TH St, Bend, OR 97701-4709
- Phone Number
- 541-389-7485
- Fax Number
- 541-322-0557
- Primary Taxonomy
- Denturist · 122400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 853 NE 4TH St
Bend, OR 97701-4709 - City
- Bend
- State
- Oregon
- Zip
- 97701-4709
- Phone Number
- 541-389-7485
- Fax Number
- 541-322-0557
Provider Business Mailing Address Details
- Address
- 853 NE 4TH St.
Bend, OR 97701 - City
- Bend
- State
- OR
- Zip
- 97701
- Phone Number
- 541-389-7485
- Fax Number
- 541-322-0557
License Information
- License Number
- DT-DO 557317
- License State
- OR
- Taxonomy
- Denturist · 122400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Tad W Burzynski, LD, RDH?
The NPI number of Mr. Tad W Burzynski, LD, RDH is 1083825962. It was assigned on May 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Tad W Burzynski, LD, RDH?
Mr. Tad W Burzynski, LD, RDH is registered under the primary taxonomy Denturist (code 122400000X), licensed in OR under license number DT-DO 557317.
Where does Mr. Tad W Burzynski, LD, RDH practice?
The practice location is 853 NE 4TH St, Bend, OR 97701-4709. The office can be reached at 541-389-7485 (phone) or 541-322-0557 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083825962 directly on the NPPES registry website.