Jonathan Marc Burrows, DDS
Individual provider Active NPI General Practice Dentistry · Mt Vernon, TX
NPI 1265958409 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1265958409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 33480 (TX)
- Practice address
- 508 Texas Highway 37 S
Mt Vernon, TX 75457-6550 - Phone
- (801) 616-1135
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33480 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 33480 | TX | Yes |
Addresses
Primary practice location
508 Texas Highway 37 S
Mt Vernon, TX 75457-6550
Mailing address
222 White St
Mt Pleasant, TX 75455-5451
Phone (801) 616-1135
Other providers in Mt Vernon, TX
- Dylan Blair
- Boatright Nursing Centers Inc
- Diamond Briones
- Brookshire Grocery Company
- Zachary Allen Buck
- Daniel Carr
- Chartwell Community Services, Inc.
- Laure Colvin
- Don R. Huffstetler,D.D.S., P.C.
- Eak Good Neighbor Properties
All providers in Mt Vernon, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.