Tad Wylie Burzynski, L.D., R.D.H.

Denturist · Bend, OR

Individual Active NPI

NPI number 1083825962

Practice location

853 NE 4TH St
Bend, OR 97701-4709
Phone
(541) 389-7485
Fax
(541) 322-0557

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NPI record

NPI
1083825962
Entity type
Individual (Type 1)
Enumeration date
May 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Denturist Primary 122400000X DT-DO 557317 OR

Mailing address

853 NE 4TH St.
Bend, OR 97701
Phone
(541) 389-7485
Fax
(541) 322-0557

About Tad Burzynski

Tad Wylie Burzynski, L.D., R.D.H. is a healthcare provider registered in the NPI registry with the primary taxonomy Denturist (code 122400000X). The practice location is 853 NE 4TH St, Bend, OR 97701-4709. The NPI number 1083825962 was assigned on May 24, 2007 and the record was last updated on July 8, 2007.

Tad Burzynski lists a license in the registry: #DT-DO 557317 (OR) for Denturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tad Wylie Burzynski, L.D., R.D.H.?

The NPI number is 1083825962.

What is the phone number of Tad Burzynski?

The phone number listed for the practice location is (541) 389-7485.

Where is Tad Burzynski located?

853 NE 4TH St, Bend, OR 97701-4709.

What is the taxonomy code for Tad Burzynski?

The primary taxonomy code is 122400000X – Denturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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