NPI 1003437757
Dominique Burdette
Practice location
- Address
- 301 S J T Stites St, Sallisaw, OK 74955-9302
- Phone
- (918) 775-9150
- Mailing address
- 3863 W 173rd St N, Skiatook, OK 74070-9404
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1003437757
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 May 2020
- Record last updated
- 5 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.