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Active NPI 1982260360 Individual Practitioner Male Practitioner

Dr. Brant Burbank , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Brant Burbank, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 4255 N EAGLE RD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4255 N Eagle Rd Ste 102

Boise, ID 837130701

Telephone 2083446300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-5145

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 35436

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kimball Mack , DMD

Dentist - General Practice

NPI 1659809200

Doctor of Dental Medicine

NPI 1942416060

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 15, 2020

Registered at 4255 N EAGLE RD STE 102, BOISE, ID 837130701 (Tel: 2083446300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Dentist (License #35436 in TX)

NPI Profile Active May 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2019

Registered at 1127 S AUSTIN AVE, DENISON, TX 750206350 (Tel: 9034633443)

📍
Updated Business Mailing Address May 11, 2019

Registered at 1210 PINTAIL, SHERMAN, TX 750924244

👤
Provider Name / Credentials Updated May 11, 2019

Recorded as BRANT BURBANK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982260360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2019
Last Update: June 15, 2020
Sole Proprietor: No

Mailing Address

1210 Pintail

Sherman, TX 750924244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.