Provider Demographics
NPI:1720089121
Name:BURGER, ANNA MARIA (DDS)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:BURGER
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 1:7760 W 38TH AVE
Mailing Address - Street 2:#200
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6136
Mailing Address - Country:US
Mailing Address - Phone:303-424-1005
Mailing Address - Fax:303-424-0133
Practice Address - Street 1:7760 W 38TH AVE
Practice Address - Street 2:#200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6136
Practice Address - Country:US
Practice Address - Phone:303-424-1005
Practice Address - Fax:303-424-0133
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO74811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice