Chad Burmeister D.m.d. P.c.

NPI #1932321262 in Decatur, Illinois

Provider Information

NPI Number: 1932321262
Entity Type: Organization
Organization Name: Chad Burmeister D.m.d. P.c.
Primary Specialty: Dentist
Enumeration Date: May 3, 2007
Last Updated: Dec 18, 2012

Practice Location

Address: 2727 N OAKLAND AVE
Address 2: SUITE 104
City: Decatur
State: Illinois
ZIP Code: 62526
Phone: (217) 875-4555

Authorized Official

Name: DR. CHAD M BURMEISTER, D.M.D. P.C.
Title: DR/DENTIST
Phone: (217) 875-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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