MEDICARE: MR. CHRISTOPHER A BURNS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	12008680A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942283692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER A BURNS DDS

Provider Business Mailing Address
First Line	:	8170 OAKLANDON RD
Second Line	:	STE B
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9543
Country	:	US
Telephone Number	:	317-823-4260
Fax Number	:	317-823-4270

Provider Business Practice Location Address
First Line	:	8170 OAKLANDON RD
Second Line	:	STE B
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9543
Country	:	US
Telephone Number	:	317-823-4260
Fax Number	:	317-823-4270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	05/01/2009

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