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Contact Information

KEN M BURCHESKY, DDS
1 MAIN ST.
LYNDONVILLE, VT05851-0974
 Phone: 802-626-3235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KEN M BURCHESKY · (Male)

NPI # 1902046113
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/27/2009
Last updated 02/27/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 016-0000550
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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