A G Burris, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1615 Issued in SC

Practice address

960 Ribaut Rd
Suite 2
Beaufort, SC 29902-5431

Phone

(843) 525-6228

Fax

(843) 524-4468

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255420741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-525-6228",
            "fax_number": "843-524-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RIBAUT RD",
            "address_2": "SUITE 2",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025431",
            "telephone_number": "843-525-6228",
            "fax_number": "843-524-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "A",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Dawn Burdick, FNP-C
• Grayson Reilly Burdick, PA-C
• Rachael Burgess
• James Burns, LISW-CP
• Lawerence Burns, MS
• Lashawnda Burroughs, BSW
• Edward Perry Burrus III, MD
• John D Bursch
• Khaliah A Busby
• Sara Marie Bustamante, OD

• All providers in Beaufort, SC
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.