Active NPIIndividual providerSole proprietor

Dr. Jeffrey M Burstein, DDS, MD

Dentist, Oral and Maxillofacial Surgery in Tigard, Oregon

NPI Number1114121720
Practice location
12750 SW 68TH Ave, Tigard, OR 97223-8596
Fax
—
Last updated
July 23, 2012

Jeffrey M Burstein is a Dentist, Oral and Maxillofacial Surgery based in Tigard, OR. Jeffrey M Burstein practices in Tigard, OR and has the professional credentials of DDS, MD. The NPI Number for Jeffrey M Burstein is 1114121720 and holds a License No. D7213 (AZ). The current practice location address for Jeffrey M Burstein is 12750 SW 68TH Ave, Tigard, OR 97223-8596 and can be reached out via phone at 503-620-6797.

Provider Profile Details

NPI Number
1114121720
Provider Name
Jeffrey M Burstein
Credential
DDS, MD
Provider Entity Type
Individual
Gender
Male
Address
12750 SW 68TH Ave, Tigard, OR 97223-8596
Phone Number
503-620-6797
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2007
Last Update Date
July 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
12750 SW 68TH Ave
Tigard, OR 97223-8596
City
Tigard
State
Oregon
Zip
97223-8596
Phone Number
503-620-6797
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
12750 SW 68TH Ave
Portland, OR 97223-8596
City
Portland
State
OR
Zip
97223-8596
Phone Number
503-620-6797

License Information

License Number (1)
D7213
License State (1)
AZ
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
48706
License State (2)
CA
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (3)
A94009
License State (3)
CA
Taxonomy (3)
Oral & Maxillofacial Surgery · 204E00000X
License Number (4)
D9280
License State (4)
OR
Taxonomy (4)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Jeffrey M Burstein, DDS, MD?

The NPI number of Dr. Jeffrey M Burstein, DDS, MD is 1114121720. It was assigned on June 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeffrey M Burstein, DDS, MD?

Dr. Jeffrey M Burstein, DDS, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in AZ under license number D7213.

Where does Dr. Jeffrey M Burstein, DDS, MD practice?

The practice location is 12750 SW 68TH Ave, Tigard, OR 97223-8596. The office can be reached at 503-620-6797 (phone).

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 1114121720 directly on the NPPES registry website.

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