NPI 1245489152
Shannon Marie Burdick, RDH
Practice location
- Address
- 2825 SW East Louise Cir, Port St Lucie, FL 34953-4273
- Phone
- (772) 871-6585
- Fax
- (561) 422-8595
- Mailing address
- 2825 SW East Louise Circle, Port St Lucie, FL 34953
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1245489152
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2008
- Record last updated
- 16 Sep 2008
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.