Provider Demographics
NPI:1447468533
Name:BURGER, HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:BURGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HAMLET DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3344
Mailing Address - Country:US
Mailing Address - Phone:631-499-4904
Mailing Address - Fax:631-499-4953
Practice Address - Street 1:50 ROUTE 111
Practice Address - Street 2:SUITE 212
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3700
Practice Address - Country:US
Practice Address - Phone:631-499-4904
Practice Address - Fax:631-499-4953
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024382-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice