# JERRY M BURNS DDS PC

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

## Provider details

- **NPI number:** 1881181535
- **Authorized official:** JERRY BURNS DDS (HEAD PROVIDER)
- **Authorized official phone:** (623) 584-9844

## Contact information

- **Practice address:** 13909 W CAMINO DEL SOL STE 102, SUN CITY WEST, AZ 85375-1413
- **Practice address phone:** (623) 584-9844
- **Mailing address:** 13909 W CAMINO DEL SOL STE 102, SUN CITY WEST, AZ 85375-1413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4927 | AZ | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1487864336 | DR. RICHARD HOLLEY | — |
| 01 | — | 1710380027 | DR. TAHANY WHITING-ELAKKAD | — |