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Organization
BRAD R. BURKS, D.M.D., P.C.
Active
Organization
BRAD R. BURKS, D.M.D., P.C.
Active
Other names
Ozark Mountain Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD REESE BURKS D.M.D. (PRESIDENT)
(417) 882-4600
Entity
Organization
Contact information
Practice address
1355 E BRADFORD PKWY, STE D, SPRINGFIELD, MO 65804
(417) 882-4600
(417) 882-1677
Mailing address
1355 E BRADFORD PKWY, STE D, SPRINGFIELD, MO 65804
(417) 882-4600
(417) 882-1677
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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