Organization · Type 2 NPI

Thomas. J. Burdo, DDS

General Practice Dentistry · Grand Rapids, MI

NPI number 1891468930 Active

Practice location

1100 4 Mile Rd. NW
Grand Rapids, MI 49555-7397

Fax (616) 784-8472

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1891468930
Entity type: Organization (Type 2)
Issued: Jul 26, 2021
Last updated: Jul 26, 2021
Status: Active
Subpart: Yes of Thomas. J. Burdo, DDS

Other names

Family, Cosmetic & Implant Dentistry · doing business as

Authorized official

Mr. Thomas J Burdo, DDS
Owner / Dentist
(616) 784-6377

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891468930

Thomas. J. Burdo, DDS's National Provider Identifier is 1891468930, issued on Jul 26, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 26, 2021.