BURRY ENDODONTICS LLC (NPI# 1396198446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396198446 |
| Entity Type | Organization |
| Organization Name | BURRY ENDODONTICS LLC |
| Other Organization Name | SKAGIT ENDODONTICS |
| Practice Address |
205 W Fairhaven Ave Ste A Burlington WA 98233-1062 |
| Practice Telephone | 3607573636 |
| Mailing Telephone | 3607573636 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | DR. JACOB CHARLES BURRY (MANAGER) |
| Authorized Official Telephone | 2089491351 |
| Authorized Official Credential | DDS, MS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
60389753 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Skagit Endodontics | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BURRY ENDODONTICS LLC | 205 W Fairhaven Ave Ste A, Burlington, WA 98233-1062 |
| Street Address |
205 W FAIRHAVEN AVE STE A |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1255832663 | David Gage Dmd Pllc | Clinic/Center | 205 W Fairhaven Ave Ste B, Burlington, WA 98233-1062 | 2018-02-22 |
| 1518470806 | Greenwood Dental Burilington | Clinic/Center | 62 2nd Ave Ste E, Burlington, MA 01803-4432 | 2017-11-09 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1134674773 | Kathleen A Stambaugh, Dds Ps | Clinic/Center | 120 E George Hopper Rd Ste 215, Burlington, WA 98233-3125 | 2016-08-24 |
| 1013308956 | Paul G. Lombardo, Dmd, PC | Clinic/Center | 104 Winn St, Burlington, MA 01803-3101 | 2015-02-13 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1568636702 | Jj Bianclana Enterprises, Inc. | Clinic/Center | 255 S. Main St, Burlington, IL 60109 | 2008-04-18 |
| 1518130574 | Mary Hanna Makhlouf Dmd Ms Pa | Clinic/Center | 1682 Westbrook Ave, Burlington, NC 27215-9700 | 2008-04-10 |
| 1720627409 | Orla M Baker Dmd PC | Clinic/Center | 51 Winn St, Burlington, MA 01803-4872 | 2019-12-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
Please comment or provide details below to improve the information on BURRY ENDODONTICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.