Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Burkholder, DMD

Individual provider General Practice Dentistry · NPI 1679258040

Marissa Burkholder, DMD is a General Practice Dentistry in Wichita, Kansas. Practices as a sole proprietor. Licensed in Florida and Kansas.

Licensed in
FL, KS
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1443 N Rock Rd
Wichita, KS 67206-1245
Phone: (316) 295-2830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 62142 (KS)
General Practice Dentistry Taxonomy 1223G0001X · Licence 28051 (FL)

Record details

NPI number1679258040
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 21, 2023
Certification dateMay 25, 2023
Mailing address9972 Cypress Vine Dr, Orlando, FL 32827-5700

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