Active NPIIndividual providerSole proprietor

Dr. Douglas R Burbach, DMD

Dentist, General Practice in Central Village, Connecticut

NPI Number1861612210
Practice location
11C East Main St, Central Village, CT 06332
Fax
—
Last updated
July 8, 2007

Douglas R Burbach is a Dentist, General Practice based in Central Village, CT. Douglas R Burbach practices in Central Village, CT and has the professional credentials of DMD. The NPI Number for Douglas R Burbach is 1861612210 and holds a License No. 6503 (CT). The current practice location address for Douglas R Burbach is 11C East Main St, Central Village, CT 06332 and can be reached out via phone at 860-564-7422.

Provider Profile Details

NPI Number
1861612210
Provider Name
Douglas R Burbach
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11C East Main St, Central Village, CT 06332
Phone Number
860-564-7422
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11C East Main St
Central Village, CT 06332
Zip
06332
Phone Number
860-564-7422
Central Village, CT 06332Get directions →

Provider Business Mailing Address Details

Address
11C East Main St
Po Box 163
Central Village, CT 06332
City
Central Village
State
CT
Zip
06332

License Information

License Number
6503
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Douglas R Burbach, DMD?

The NPI number of Dr. Douglas R Burbach, DMD is 1861612210. It was assigned on April 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas R Burbach, DMD?

Dr. Douglas R Burbach, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6503.

Where does Dr. Douglas R Burbach, DMD practice?

The practice location is 11C East Main St, Central Village, CT 06332. The office can be reached at 860-564-7422 (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 1861612210 directly on the NPPES registry website.

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