Robert George Burcal, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019.017427 Issued in IL

Practice address

2730 Sampson Road
RTC BLDG 1017
Great Lakes, IL 60088-5258

Phone

(847) 688-2100

Fax

(847) 688-5995

NPI assigned

Jan 28, 2008

Last updated

Aug 3, 2010By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1871770248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ORCHARD CT",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722526",
            "telephone_number": "847-688-2100",
            "fax_number": "847-688-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SAMPSON ROAD",
            "address_2": "RTC BLDG 1017",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600885258",
            "telephone_number": "847-688-2100",
            "fax_number": "847-688-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCAL",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019.017427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Braden, DDS
• Zachary Breen, DDS
• Neil Bresnahan, D.D.S.
• Kevin Potter Brown, PH.D.
• Gregory C Browning, DDS
• Joseph Alan Burmeister, IDC
• Clinton Bissell Butler III, DMD
• James R Butts, IDC
• Jesse C Cabuyadao
• Jerome Thomas Campbell II, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.