Most Relevant Information
Provider Data
| NPI Number: | 1003020132 |
| Provider Name: | THOMAS RICHARD BURSICH D.D.S., RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DS023805L |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
9008 MAIN ST
MC KEAN
PA
164261454
Practice Location Phone/Fax
| Phone: | 8144767714 |
| Fax: | 8144760078 |
Provider Mailing Location
1403 WOLF RUN CT
ERIE
PA
165055513
Provider Mailing Phone/Fax
| Phone: | 8148353830 |
| Fax: | 8144760078 |