Whalio Doctors

NPI 1073165007

Joshua Joel Burnham, DMD

Practitioner General Practice Dentistry Logan, UT

Practice location

Address
957 S Hwy 89, Logan, UT 84321-5451
Phone
(714) 264-6250
Mailing address
296 W 3575 S, Nibley, UT 84321-6342

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 11349977-9922 (UT)

Registry record

NPI
1073165007
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jul 2019
Record last updated
10 Jul 2019

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.