| Bryan Hall Burdette | |
|
13050 Magisterial Dr Suite 100 Louisville KY 40223-5180 | |
| (502) 245-1061 | |
| (502) 245-1065 |
| Full Name | Bryan Hall Burdette |
|---|---|
| Speciality | Dentist |
| Location | 13050 Magisterial Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Wanda Joan Haynes (OFFICE MANAGER) |
| Authorized Official Contact | 5022451061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Hall Burdette 13050 Magisterial Dr Suite 100 Louisville KY 40223-5180 Ph: (502) 245-1061 | Bryan Hall Burdette 13050 Magisterial Dr Suite 100 Louisville KY 40223-5180 Ph: (502) 245-1061 |
| NPI Number | 1487061081 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487061081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 03223 (Kentucky) | Primary |
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