Burcham Dental Arts Clinic
Organization Active NPI General Practice Dentistry · Kennett, MO
NPI 1982633699 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1982633699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 015011 (MO)
- Legal business name
- BURCHAM DENTAL ARTS CLINIC
- Practice address
- 205 Teaco Rd
Kennett, MO 63857-3236 - Phone
- (573) 888-3521
- Fax
- (573) 888-0973
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Britt D Burcham, D.D.S.
- Title
- President
- Phone
- (573) 888-3521
Practitioners 2
-
Britt D. Burcham, D.D.S
-
Martin Fowler, DMD
National Provider Directory
Locations
205 Teaco Rd
Kennett, MO 63857
Phone (573) 888-3521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 015011 | MO | Yes |
Addresses
Primary practice location
205 Teaco Rd
Kennett, MO 63857-3236
Mailing address
205 Teaco Rd
P.O. Box 766
Kennett, MO 63857-3236
Phone (573) 888-3521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3031860 | Other | TN | BLUE CROSS BLUE SHIELD |
| 856721 | Other | UNITED CONCORDIA |
Other providers in Kennett, MO
- Syntyche Leann Brown
- Nancy Lee Bruce
- Dana Renee Brunk
- Desiree D Buchanan
- Christina Burch
- Britt D. Burcham
- Sidne Burke
- Alyssa A Burkman
- Ariel Burleson
- Brooke Burlison
All providers in Kennett, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. 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.