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Organization
BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.
Active
Organization
BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.
Active
Other names
Oral & Facial Surgery Center of Joplin
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY R BURNETT DDS (PRESIDENT)
(417) 621-0500
Entity
Organization
Contact information
Practice address
620 W 32ND ST, JOPLIN, MO 64804
(417) 621-0500
(417) 781-5809
Mailing address
620 W 32ND ST, JOPLIN, MO 64804
(417) 621-0500
(417) 781-5809
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
010761
MO
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2005005794
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
NULL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
Other
Enumeration date
05/09/2006
Last updated
11/23/2009
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