Individual provider · Type 1 NPI

Blake Burnett, DMD

Student in an Organized Health Care Education/Training Program · St. Petersburg, FL

NPI number 1073929634 Active

Practice location

9200 113th Street
St. Petersburg, FL 33708

Call (727) 394-6064 Map

Mailing address

4936 Miramar Dr, Apt. 4207
Madeira Beach, FL 33708-3396

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073929634

Blake Burnett, DMD's National Provider Identifier is 1073929634, issued on Jul 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 3, 2014.