Ronald J Burgmeier, D.D.S.

Individual provider Active NPI General Practice Dentistry · Olathe, KS

NPI 1164525408 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164525408
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6673 (KS)
Practice address
13025 S. Mur-Len Rd
Suite 250
Olathe, KS 66062
Phone
(913) 764-1169
Fax
(913) 764-0469
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6673KSMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6673 KS Yes

Addresses

Primary practice location

13025 S. Mur-Len Rd
Suite 250
Olathe, KS 66062

Mailing address

13025 S. Mur-Len Rd, Suite 250
Olathe, KS 66062
Phone (913) 764-1169

Other identifiers

IdentifierTypeStateIssuer
561482OtherKSBLUE CROSS BLUE SHIELD KS
1679901OtherMOBLUE CROSS AND BLUE SHIEL

Other providers in Olathe, KS

All providers in Olathe, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.