Provider Demographics
NPI:1215565486
Name:BURBICK, HEATHER (DDS)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:BURBICK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 MCARDLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4439
Mailing Address - Country:US
Mailing Address - Phone:847-421-4213
Mailing Address - Fax:
Practice Address - Street 1:4758 MCARDLE RD STE 202
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4439
Practice Address - Country:US
Practice Address - Phone:847-421-4213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX359321223G0001X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice