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Contact Information

WILLIAM C BURCKHARDT, DMD
2821 N BALLAS
STE 160
SAINT LOUIS, MO63131
 Phone: 314-567-5477
 Fax: 314-567-4804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for WILLIAM C BURCKHARDT · (Male)

NPI Number 1174601546
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 12128
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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