Ronald John Burkholder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021531L Issued in PA

Practice address

Mills Dental Clinic
5660 Doughboy Loop
Fort Dix, NJ 08640-5435

Phone

(609) 562-2610

Fax

(609) 562-6851

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By 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

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851449359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "693 CRESSMAN ROAD",
            "city": "LEDERACH",
            "state": "PA",
            "postal_code": "194500009",
            "telephone_number": "215-513-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MILLS DENTAL CLINIC",
            "address_2": "5660 DOUGHBOY LOOP",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "086405435",
            "telephone_number": "609-562-2610",
            "fax_number": "609-562-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021531L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Allison
• Persival Faustino Borlongan, PT
• Colby J Bowers, IDMT
• Brenda K. Boytim, APN-C, MSN
• Michael John Byrnes, D.O.
• Robert Antonio Cabanas, DMD
• Thelma Campbell, NURSE
• Anthony Louis Capone, MSW
• Janet M Conway, O.D.

• General Practice Dentistry in Fort Dix, NJ
• Providers in Fort Dix, 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 Jul 8, 2007; 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.