Burtenshaw, Bryce A.
Burtenshaw, Bryce A. is an sole proprietor health care provider with primary practice located at 200 N Woodruff Ave , Idaho Falls ID 83401-4334. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burtenshaw, Bryce A. can be contacted via phone (208) 529-0120.Contact Information
Primary practice address
200 N Woodruff Ave
Idaho Falls ID 83401-4334
Phone: (208) 529-0120
Fax: (208) 523-4711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3614 | Idaho |
Profile Details
| NPI number | 1699725465 |
|---|---|
| LBN Legal business name | Burtenshaw, Bryce A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | May 14th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699725465 | NPPES |
| Idaho | MEDICAID | 806335900 |
Popular Providers
-
Johnson, Evan O
1520 Elk Crk , Idaho Falls ID 83404-8322 -
Hunter, Robert
2300 E 17Th St , Idaho Falls ID 83404-6504 -
Rich, Loren Mckay
2300 E 17Th St , Idaho Falls ID 83404-6504 -
Palmer, Mathew Greg
3387 Merlin Dr , Idaho Falls ID 83404-7405 -
Webb, Bracken
2300 E 17Th St , Idaho Falls ID 83404-6504 -
Dixon, Melissa A
205 Elm St , Idaho Falls ID 83402-4054 -
Sheppard, Ron D
2300 E 17Th St , Idaho Falls ID 83404-6504 -
Thompson, Rex D
2300 E 17Th St , Idaho Falls ID 83404-6504