Provider Demographics
NPI:1194883652
Name:MORTON BURGER DDS PC
Entity type:Organization
Organization Name:MORTON BURGER DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-873-5400
Mailing Address - Street 1:115 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4198
Mailing Address - Country:US
Mailing Address - Phone:212-873-5400
Mailing Address - Fax:212-579-2372
Practice Address - Street 1:115 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 11
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:212-873-5400
Practice Address - Fax:212-579-2372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0387701122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty