Dr Douglas R Burbach, DMD is a
Dentist - General Practice based in Central Village, Connecticut. Dr Douglas R Burbach is licensed to practice in Connecticut (license number 6503) and his current practice location is
11c East Main St, Central Village, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 564-7422.
NPI number for Dr Douglas R Burbach is 1861612210 and his current mailing address is 11c East Main St, Po Box 163, Central Village, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861612210.
Healthcare Provider's Profile
Full Name | Dr Douglas R Burbach |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 11c East Main St, Central Village, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861612210
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Douglas R Burbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861612210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6503 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas R Burbach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Douglas R Burbach, DMD 11c East Main St, Po Box 163, Central Village, CT 06332 Ph: () - | Dr Douglas R Burbach, DMD 11c East Main St, Central Village, CT 06332 Ph: (860) 564-7422 |
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