Provider Demographics
NPI:1487175550
Name:BURNS, EMILY ABBIE (DMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ABBIE
Last Name:BURNS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4748
Mailing Address - Country:US
Mailing Address - Phone:207-245-4965
Mailing Address - Fax:
Practice Address - Street 1:155 CENTER ST # 9D
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5229
Practice Address - Country:US
Practice Address - Phone:207-783-2521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4577122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist