Healthcare Provider Details

I. General information

NPI: 1487346961
Provider Name (Legal Business Name): LEILA BURBAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26370 GRAND RIVER AVE
REDFORD MI
48240-1463
US

IV. Provider business mailing address

26370 GRAND RIVER AVE
REDFORD MI
48240-1463
US

V. Phone/Fax

Practice location:
  • Phone: 313-534-3313
  • Fax:
Mailing address:
  • Phone: 313-534-3313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901601694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: