Burleson Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23695 Issued in TX

Legal business name

BURLESON DENTAL, PLLC

Practice address

225 Exchange St
Suite D
Burleson, TX 76028-4588

Phone

(817) 426-9337

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Everett C Evans

Title

DDS, Owner

Phone

(940) 808-1970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1396128534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E MCKINNEY ST",
            "address_2": "100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762097557",
            "telephone_number": "940-808-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EXCHANGE ST",
            "address_2": "SUITE D",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284588",
            "telephone_number": "817-426-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DDS, OWNER",
        "authorized_official_telephone_number": "940-808-1970"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Burleson, TX
• Providers in Burleson, 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 Jul 7, 2015; 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.