# BRYANT P. BURKETT DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790398451
- **Authorized official:** DR. BRYANT P BURKETT DDS (DENTIST)
- **Authorized official phone:** (765) 561-4495

## Contact information

- **Practice address:** 5310 PEARL DR STE C, EVANSVILLE, IN 47712-8105
- **Practice address phone:** (812) 422-1135
- **Mailing address:** 5310 PEARL DR STE C, EVANSVILLE, IN 47712-8105
- **Mailing address phone:** (812) 422-1135
- **Mailing address fax:** (812) 422-1978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 08/24/2020