NPIMap

Organization Active NPI

Dr Dennis Burrell DDS and Associates, PC

  • General Practice Dentistry
  • University Place, WA
National Provider Identifier
1295817450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005647 Issued in WA
Legal business name
DR DENNIS BURRELL DDS AND ASSOCIATES, PC
Practice address
4310 Bridgeport Way W
Suite D
University Place, WA 98466-4337
Phone
(253) 564-7645
Fax
(253) 566-3449
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Max Burrell, DDSNPI 1447334636
Title
President
Phone
(253) 564-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005647 WA Primary

Addresses

Primary practice location

4310 Bridgeport Way W
Suite D
University Place, WA 98466-4337

Mailing address

4310 Bridgeport Way W
Suite D
University Place, WA 98466-4337
Phone (253) 564-7645

National Provider Directory

National Provider Directory

Locations

4310 Bridgeport Way W
Ste D
University Place, WA 98466
Phone (253) 564-7645

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295817450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 BRIDGEPORT WAY W",
            "address_2": "SUITE D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664337",
            "telephone_number": "253-564-7645",
            "fax_number": "253-566-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 BRIDGEPORT WAY W",
            "address_2": "SUITE D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664337",
            "telephone_number": "253-564-7645",
            "fax_number": "253-566-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENNIS BURRELL DDS AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-564-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.