# RONALD S BURNETT DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RONALD S BURNETT DDS PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417213034
- **Legal business name:** RONALD S BURNETT DDS PA
- **Authorized official:** DR. RON S BURNETT DDS (OWNER)
- **Authorized official phone:** (870) 972-1200

## Contact information

- **Practice address:** 2500 BROWNS LN STE B, JONESBORO, AR 72401-6107
- **Practice address phone:** (870) 972-1200
- **Practice address fax:** (870) 932-9746
- **Mailing address:** 2500 BROWNS LN STE B, JONESBORO, AR 72401-6107
- **Mailing address phone:** (870) 972-1200
- **Mailing address fax:** (870) 932-9746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | AR 2182 | AR | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/09/2012