Healthcare Provider Details

I. General information

NPI: 1497279004
Provider Name (Legal Business Name): AARON STOWELL BURNETT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BLACK HORSE PIKE UNIT 212
MAYS LANDING NJ
08330-3159
US

IV. Provider business mailing address

4300 BLACK HORSE PIKE UNIT 212
MAYS LANDING NJ
08330-3159
US

V. Phone/Fax

Practice location:
  • Phone: 609-833-2194
  • Fax:
Mailing address:
  • Phone: 609-833-2194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02796500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: