S.J.Burrow,III.D.D.S.,M.S.,P.L.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4617 Issued in NC

Legal business name

S.J.BURROW,III.D.D.S.,M.S.,P.L.L.C.

Practice address

10320 Mallard Creek Rd
Suite 150
Charlotte, NC 28262-9756

Phone

(704) 547-8438

Fax

(704) 372-2690

NPI assigned

Jan 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Jackson Burrow III, DDS,MS

Title

Orthodontist

Phone

(704) 547-0803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1619208030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "SUITE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-334-7202",
            "fax_number": "704-372-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-547-8438",
            "fax_number": "704-372-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.J.BURROW,III.D.D.S.,M.S.,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BURROW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "704-547-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.