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BURRIS-DAKE ORAL SURGERY NPI 1255634291


NPI Information

NPI: 1255634291
Provider Name: BURRIS-DAKE ORAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2801 S OLIVE ST
SUITE 33B
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-2131
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BURRIS-DAKE ORAL SURGERY is an oral and maxillofacial surgery dentist in Pine Bluff, AR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BURRIS-DAKE ORAL SURGERY NPI is 1255634291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2801 S OLIVE ST
SUITE 33B
PINE BLUFF, AR
ZIP 71603-433
Phone: (870) 534-2131
Fax: (870) 534-2175

The provider's authorized official is Benjamin G Burris .
The authorized official title is Sole Manager and has the following contact phone number (870) 534-2131.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 12/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery3802ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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