Edward G. Burnett Jr. D.D.S.,P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3900 Issued in NC

Legal business name

EDWARD G. BURNETT JR. D.D.S.,P.A.

Practice address

1900 S Hawthorne Rd
Ste 552
Winston Salem, NC 27103-3913

Phone

(336) 760-4304

Fax

(336) 765-0124

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Guest Burnett Jr., DDSNPI 1528141686

Title

President

Phone

(336) 760-4304

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Edward Guest Burnett Jr., D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1528141686
  NPD (past) Authorized official
• Harry Lee Aylor Jr., D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1427131606
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1740447465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "STE 552",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-760-4304",
            "fax_number": "336-765-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HAWTHORNE RD",
            "address_2": "STE 552",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033913",
            "telephone_number": "336-760-4304",
            "fax_number": "336-765-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G. BURNETT JR. D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GUEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-760-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Ebray Edmunds Jr., MASSAGE THERAPIST
• Suzanne Marie Edmunds, MD
• Alissa Danielle Edsall, RD
• Educare Community Living Corp North Carolina
• Educare Community Living Corporation - North Carolina
• Megan Elizabeth Edwards Collins, PH.D., OTR/L
• Rosella Kim Edwards-Easley, LCAS, LCMHC
• Amanda Kolb Edwards, PHARMD
• Angela Fariss Edwards, MD
• Anne Tyson Edwards, PA-C

• Dental Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.