Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30-018166 | OH |
NPI | 1073643656 |
---|---|
Provider Name | Dr. Richard Howard Burns JR. |
First Address | New Philadelphia, OH 44663-2684 |
Second Address | New Philadelphia, OH 44663-2684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 08/07/2007 |