Kristen a Burris, D.D.S. L.L.C.
Organization Active NPI General Practice Dentistry · Shattuck, OK
NPI 1285801324 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1285801324
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4628 (OK)
- Legal business name
- KRISTEN A BURRIS, D.D.S. L.L.C.
- Practice address
- 1515 South Main Street
Shattuck, OK 73858 - Phone
- (580) 938-2566
- Fax
- (580) 938-2567
- NPI assigned
- May 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kristen A Burris, D.D.S.
- Title
- Owner
- Phone
- (580) 938-2566
Practitioners 2
-
Kristen A Burris, D.D.S.
-
Jamie L Cameron, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4628 | OK | Yes |
Addresses
Primary practice location
1515 South Main Street
Shattuck, OK 73858
Mailing address
PO Box 609
Shattuck, OK 73858-0609
Phone (580) 938-2566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090140A | Medicaid | OK |
Other providers in Shattuck, OK
- Foundation Health & Wellness Institute PC
- Gary A. Frederick
- HCC of Shattuck, LLC
- John David Herber
- Jennifer Hix
- Gary Willis Mitchell
- Merindy Grace Morgenson
- Newman Medical Center Pharmacy Inc
- Newman Memorial Hospital, Inc
- Newman Memorial Hospital, Inc
All providers in Shattuck, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. 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.