Brian Burseth, DDS

General Practice Dentistry · Crystal Lake, IL

Individual Active NPI

NPI number 1831572718

Practice location

22 W Crystal Lake Ave
Crystal Lake, IL 60014-6104
Phone
(815) 459-9900

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NPI record

NPI
1831572718
Entity type
Individual (Type 1)
Enumeration date
July 9, 2015
Last updated
July 9, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019030241 IL

About Dr. Burseth

Brian Burseth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 22 W Crystal Lake Ave, Crystal Lake, IL 60014-6104. The NPI number 1831572718 was assigned on July 9, 2015 and the record was last updated on July 9, 2015.

Dr. Burseth lists a license in the registry: #019030241 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Burseth, DDS?

The NPI number is 1831572718.

What is the phone number of Dr. Burseth?

The phone number listed for the practice location is (815) 459-9900.

Where is Dr. Burseth located?

22 W Crystal Lake Ave, Crystal Lake, IL 60014-6104.

What is the taxonomy code for Dr. Burseth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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