Burckhard Orthodontics, Pllc

NPI #1902284573 in Minot, North Dakota

Provider Information

NPI Number: 1902284573
Entity Type: Organization
Organization Name: Burckhard Orthodontics, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 14, 2015
Last Updated: May 14, 2015

Practice Location

Address: 700 WESTERN AVE
Address 2: SUITE 100
City: Minot
State: North Dakota
ZIP Code: 58701-3760
Phone: (701) 838-1700

Authorized Official

Name: DR. JASON BURCKHARD, DDS
Title: OWNER/ORTHODONTIST
Phone: (701) 838-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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