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Individual
DR. BRADLEY ROBERT BURNETT
Active
Individual
DR. BRADLEY ROBERT BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2005005794
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2005005794
MO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2005005794
MO
Other
Enumeration date
12/11/2006
Last updated
02/05/2026
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