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Organization
JERRY M BURNS DDS PC
Active
Organization
JERRY M BURNS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY BURNS DDS (HEAD PROVIDER)
(623) 584-9844
Entity
Organization
Contact information
Practice address
13909 W CAMINO DEL SOL STE 102, SUN CITY WEST, AZ 85375-1413
(623) 584-9844
Mailing address
13909 W CAMINO DEL SOL STE 102, SUN CITY WEST, AZ 85375-1413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4927
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487864336
DR. RICHARD HOLLEY
—
01
—
1710380027
DR. TAHANY WHITING-ELAKKAD
—
Enumeration date
04/18/2018
Last updated
04/18/2018
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