Burdette, Bryan Hall

Burdette, Bryan Hall is an individual health care provider with primary practice located at 13050 Magisterial Dr Suite 100, Louisville KY 40223-5180. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Burdette, Bryan Hall can be contacted via phone (502) 245-1061.

Contact Information

Primary practice address
13050 Magisterial Dr Suite 100 Louisville KY 40223-5180
Phone: (502) 245-1061
Fax: (502) 245-1065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4567 Kentucky
Dental Providers / General Practice 1223G0001X 4567 Kentucky

Profile Details

NPI number 1942207238
LBN Legal business name Burdette, Bryan Hall
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207238 NPPES
Other 000000050182 BC/BS

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