Edward Burg, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI020794 Issued in NJ

Practice address

853 Mill Creek Rd
Suite # 7 & 8
Manahawkin, NJ 08050-4562

Phone

(609) 978-7440

Fax

(609) 978-5498

NPI assigned

Mar 28, 2008

Last updated

Mar 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kmay Dental PC

  • General Practice Dentistry
  • Manahawkin, NJ
  • NPI 1194934851
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1417129537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 MILL CREEK RD",
            "address_2": "SUITE # 7 & 8",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080504562",
            "telephone_number": "609-978-7440",
            "fax_number": "609-978-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MILL CREEK RD",
            "address_2": "SUITE # 7 & 8",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080504562",
            "telephone_number": "609-978-7440",
            "fax_number": "609-978-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI020794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Diantonio Bredl, MS, CCC-SLP
• Courtney Rose Brisson, OTR/L
• Cynthia T Brown, DC
• Dwayne O Brown, D.O., PH.D
• Elizabeth Burachinsky
• Carly Noelle Burnup, OTR/L
• Leonid Igorevich Burunchenko, MD
• Samantha Bussanich, PA-C
• John Paul Butler, D.M.D.
• C3 Behavioral Services LLC

• General Practice Dentistry in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.