Burnham, Spencer
Burnham, Spencer is an individual health care provider with primary practice located at 1150 Crater Lake Ave Suite L, Medford OR 97504-6213. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burnham, Spencer can be contacted via phone (541) 499-0292.Contact Information
Primary practice address
1150 Crater Lake Ave Suite L
Medford OR 97504-6213
Phone: (541) 499-0292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10464 | Oregon |
Profile Details
| NPI number | 1124470604 |
|---|---|
| LBN Legal business name | Burnham, Spencer |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2016 |
| Last updated | Jul 7th, 2016 - about 10 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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