GREGORY BURDO DMD NPI 1124189980

NPI Information

NPI: 1124189980
Provider Name: GREGORY BURDO, DMD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
3 AINSLEY CT
NEWTOWN, PA
ZIP 18940
Phone: (215) 497-8339
Get Directions

Gregory Burdo, DMD is a periodontics dentist in Newtown, PA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Gregory Burdo, DMD NPI is 1124189980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 AINSLEY CT
NEWTOWN, PA
ZIP 18940-230
Phone: (215) 497-8339
Fax: (215) 513-7192

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	DS036098	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101703527	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	101703527	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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