Dr. David Burrow DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13725 Issued in TX

Legal business name

DR. DAVID BURROW DDS PA

Practice address

212 Grande Blvd
Suite B210
Tyler, TX 75703-4226

Phone

(903) 561-1610

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David K Burrow, DDSNPI 1669594792

Title

President

Phone

(903) 561-1610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David K Burrow, DDS, PA

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1669594792
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275756231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PRINCESS DR",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "75791",
            "telephone_number": "903-839-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GRANDE BLVD",
            "address_2": "SUITE B210",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034226",
            "telephone_number": "903-561-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID BURROW DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURROW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-561-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.