MR. TAD WYLIE BURZYNSKI L.D. R.D.H. NPI 1083825962

NPI Information

MR. Tad Wylie Burzynski, L.D., R.D.H. is a denturist in Bend, OR. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MR. Tad Wylie Burzynski, L.D., R.D.H. NPI is 1083825962. 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:

853 NE 4TH ST
BEND, OR
ZIP 97701-709
Phone: (541) 389-7485
Fax: (541) 322-0557

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/8/2007.

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:

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