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BURCHAM DENTAL ARTS CLINIC NPI 1982633699


NPI Information

NPI: 1982633699
Provider Name: BURCHAM DENTAL ARTS CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
205 TEACO RD
KENNETT, MO
ZIP 63857
Phone: (573) 888-3521
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BURCHAM DENTAL ARTS CLINIC is a general practice dentist in Kennett, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BURCHAM DENTAL ARTS CLINIC NPI is 1982633699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 TEACO RD
KENNETT, MO
ZIP 63857-236
Phone: (573) 888-3521
Fax: (573) 888-0973

The provider's authorized official is Britt D Burcham .
The authorized official title is President and has the following contact phone number (573) 888-3521.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 12/6/2007.


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
11223G0001XDentistGeneral Practice015011MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1856721OTHERUNITED CONCORDIA
23031860OTHERTENNESSEEBLUE CROSS BLUE SHIELD

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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