Healthcare Provider Details

I. General information

NPI: 1821491804
Provider Name (Legal Business Name): BURMAN DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2014
Last Update Date: 06/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 CHIMNEY CORNER LN SUITE 3022
JUPITER FL
33458-4800
US

IV. Provider business mailing address

224 CHIMNEY CORNER LN SUITE 3022
JUPITER FL
33458-4800
US

V. Phone/Fax

Practice location:
  • Phone: 561-404-4325
  • Fax:
Mailing address:
  • Phone: 561-404-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberDN13693
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN13693
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN A BURMAN
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 561-404-4325