Thomas. J. Burdo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMAS. J. BURDO, DDS

Practice address

1100 4 Mile Rd. NW
Grand Rapids, MI 49555-7397

Phone

(616) 784-6377

Fax

(616) 784-8472

NPI assigned

Jul 26, 2021

Organization subpart

Yes

Parent organization

THOMAS. J. BURDO, DDSAs reported in NPPES

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

Authorized official

Name

Mr. Thomas J Burdo, DDS

Title

Owner / Dentist

Phone

(616) 784-6377

Specialties & licenses 1

Addresses

Other names 1

• Family, Cosmetic & Implant Dentistry Doing business as

Part of

Thomas J Burdo DDS

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1891468930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD. NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495557397",
            "telephone_number": "616-784-6377",
            "fax_number": "616-784-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4 MILE RD. NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495557397",
            "telephone_number": "616-784-6377",
            "fax_number": "616-784-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS. J. BURDO, DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS. J. BURDO, DDS",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "BURDO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "616-784-6377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family, Cosmetic & Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberta Lynne Thomas, PHD, RN, NP
• Thomcy Mary Thomas, M.A., LLPC
• Treg Allen Thomas, PSY.D.
• Wanda Thomas
• Yuliya Thomas, CRNA
• Sam A Thomet
• Angela Kay Thompson-Busch, M.D.,PH.D
• Alexander Thompson, MSW
• Amber N Thompson, M.A.
• Anne Marie Thompson

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.