Burg Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BURG PEDIATRIC DENTISTRY

Practice address

678 E Vine St
Ste 10
Murray, UT 84107-5546

Phone

(801) 918-4135

NPI assigned

Sep 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marci Nicol

Title

VP of Operations

Phone

(801) 918-4135

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1003364852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 E VINE ST",
            "address_2": "STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075546",
            "telephone_number": "801-918-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 E VINE ST",
            "address_2": "STE 10",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075546",
            "telephone_number": "801-918-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURG PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "801-918-4135"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bullen & Wilson Eaglegate College Dental Clinic
• Emily Ann Bullock, FNP
• Jared Cole Bumgardner, A.U.D
• Maren Rose Bunch, RDN
• Brandon S Bunker, LCMHC
• Jeff S Burg, DDS
• Lianna Michelle Burgener
• Barbara Burke, CRC, LVRC
• James Lee Burke, M.D.
• Lauren Burke

• Dental Clinic/Center in Murray, UT
• Providers in Murray, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.