Healthcare Provider Details

I. General information

NPI: 1770552713
Provider Name (Legal Business Name): NATHAN ARMAND BURNS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5036 YALE ST STE 302
METAIRIE LA
70006-3980
US

IV. Provider business mailing address

1642 WESTGATE CIR SUITE 400
BRENTWOOD TN
37027-8194
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-2213
  • Fax: 504-888-5204
Mailing address:
  • Phone: 615-373-9889
  • Fax: 615-425-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number6458
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: