DR. Theresa Lane Burt, DDS

NPI #1851528673 in Flat Rock, Michigan

Provider Information

NPI Number: 1851528673
Entity Type: Individual
Name: DR. Theresa Lane Burt, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 19, 2009
Last Updated: Jun 19, 2009

Practice Location

Address: 23867 GREENWOOD DR
City: Flat Rock
State: Michigan
ZIP Code: 48134-2301
Phone: (248) 943-6861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Professional Dental Alliance of Flat Rock, Pllc	Dentist	Flat Rock	AI Deep Dive
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