A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
ID license #D3064ID license #D1628ID license #D3614ID license #D3038taxonomy 122300000X
Identifiers
Type
Value
Notes
05 (ID)
806335900
05 (ID)
806939100
05 (ID)
02740700
05 (ID)
00274600
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Burtenshaw Craig A & G Staley GPS
Type code 3recorded 2008-06-19
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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