Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY BURGE, RDA
ActiveIVY BURGE, RDA is a Dental Assistant healthcare provider located in SANTA ROSA, California. NPI 1881213379 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · SANTA ROSA, CA
Registration Details
- NPI Number
- 1881213379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2020 (6.3745131236859 yrs)
- Last Updated
- Apr 14, 2020
- License
-
RDA92988 (CA)
Practice Information
- Address
-
2798 YULUPA AVE STE 3SANTA ROSA, CA, 954058570Browse CA providers · Browse ZIP 95405
- Phone
- 7075427299
- Primary Specialty
-
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.