MEDICARE: JOHN D BURKART, DDS PC

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	261QD0000X	Dental Clinic/Center	5470	CO

General Provider Information

NPI Number	:	1265857429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN D BURKART, DDS PC

Provider Business Mailing Address
First Line	:	13731 E RICE PL
Second Line	:	SUITE 100
City	:	AURORA
State	:	CO
Zip	:	80015-1063
Country	:	US
Telephone Number	:	303-693-7330
Fax Number	:	303-693-7341

Provider Business Practice Location Address
First Line	:	13731 E RICE PL
Second Line	:	SUITE 100
City	:	AURORA
State	:	CO
Zip	:	80015-1063
Country	:	US
Telephone Number	:	303-693-7330
Fax Number	:	303-693-7341

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN BURKART
Credential	:
Telephone Number	:	303-693-7330

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	02/25/2014

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