# PATRICIA BURNESS DDS, PC

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

## Provider details

- **NPI number:** 1801526389
- **Authorized official:** PATRICIA BURNESS (OWNER)
- **Authorized official phone:** (586) 295-4488

## Contact information

- **Practice address:** 1448 S GRATIOT AVE, MOUNT CLEMENS, MI 48043
- **Practice address phone:** (586) 954-3840
- **Mailing address:** 1448 S GRATIOT AVE, MOUNT CLEMENS, MI 48043-6533
- **Mailing address phone:** (586) 954-3840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154472959 | — | MI |