Provider Demographics
NPI:1366545931
Name:ASSOCIATES IN ENDODONTICS PC
Entity type:Organization
Organization Name:ASSOCIATES IN ENDODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIPAA PRIVACY OFFICER TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:BURKARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-233-2322
Mailing Address - Street 1:928 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107
Mailing Address - Country:US
Mailing Address - Phone:860-233-2322
Mailing Address - Fax:860-236-5486
Practice Address - Street 1:928 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107
Practice Address - Country:US
Practice Address - Phone:860-233-2322
Practice Address - Fax:860-236-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty