Active NPIIndividual provider

Dr. Elise Burrus, DDS

Dentist, Pediatric Dentistry in Redmond, Oregon

NPI Number1649583428
Practice location
413 NW Larch Ave, Suite 201, Redmond, OR 97756-1361
Fax
—
Last updated
September 30, 2014

Elise Burrus is a Dentist, Pediatric Dentistry based in Redmond, OR. Elise Burrus practices in Redmond, OR and has the professional credentials of DDS. The NPI Number for Elise Burrus is 1649583428 and holds a License No. 6534-015 (WI). The current practice location address for Elise Burrus is 413 NW Larch Ave, Suite 201, Redmond, OR 97756-1361 and can be reached out via phone at 414-923-8666.

Provider Profile Details

NPI Number
1649583428
Provider Name
Elise Burrus
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
413 NW Larch Ave, Suite 201, Redmond, OR 97756-1361
Phone Number
414-923-8666
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2010
Last Update Date
September 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
413 NW Larch Ave
Suite 201
Redmond, OR 97756-1361
State
Oregon
Zip
97756-1361
Phone Number
414-923-8666
Redmond, OR 97756Get directions →

Provider Business Mailing Address Details

Address
2379 NW Labiche Ln
# 1
Bend, OR 97701-7178
City
Bend
State
OR
Zip
97701-7178
Phone Number
541-280-5186

License Information

License Number (1)
6534-015
License State (1)
WI
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
d9707
License State (2)
OR
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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. Elise Burrus, DDS?

The NPI number of Dr. Elise Burrus, DDS is 1649583428. It was assigned on July 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Elise Burrus, DDS?

Dr. Elise Burrus, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in WI under license number 6534-015.

Where does Dr. Elise Burrus, DDS practice?

The practice location is 413 NW Larch Ave, Suite 201, Redmond, OR 97756-1361. The office can be reached at 414-923-8666 (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 1649583428 directly on the NPPES registry website.

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