BRYAN HALL BURDETTE
NPI 1487061081
Dentist in Louisville, KY

Active since July 15, 2014
13050 MAGISTERIAL DR, SUITE 100, LOUISVILLE, KY 40223(502) 245-1061(502) 245-1065 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Hall Burdette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN HALL BURDETTE (NPI 1487061081) is a healthcare organization registered as a dentist in Louisville, Kentucky and active in the NPI registry since July 2014. The organization lists Wanda Joan Haynes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487061081
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBRYAN HALL BURDETTE
Location Address13050 MAGISTERIAL DR, SUITE 100Louisville, KY 40223-5180
Mailing Address13050 Magisterial Dr, Suite 100Louisville, KY 40223-5180 · (502) 245-1061 · Fax (502) 245-1065
Fax(502) 245-1065
Organization SubpartYes
Authorized OfficialWanda Joan HaynesOffice Manager · (502) 245-1061
Enumeration DateJuly 15, 2014
NPI 1487061081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in KY · 03223
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

13050 MAGISTERIAL DR, Louisville, KY 40223

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
13050 MAGISTERIAL DR, SUITE 100
LOUISVILLE, KY 40223
Clinic/Center (Physical Therapy)
13050 MAGISTERIAL DR, SUITE 100
LOUISVILLE, KY 40223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487061081, enumerated as an "organization" on July 15, 2014.

The provider is located at 13050 MAGISTERIAL DR SUITE 100 LOUISVILLE, KY 40223 and the phone number is (502) 245-1061.

Dentist with taxonomy code 122300000X.