NPI 1821235839 · live from the CMS NPI Registry
Eric C Burgin, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Beaverton, OR. National Provider Identifier 1821235839, active.
NPI record
| NPI | 1821235839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 16155 Nw Cornell Rd, Ste 450, Beaverton, OR 97006 |
| Practice phone | 503-629-5300 |
| Enumerated | January 13, 2009 |
| Last updated | January 13, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D9145 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.