Organization
HUGH F. BURNETT DDS. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN JENNINGS SHEPHERD (OFFICE MANAGER)
(501) 225-1766
Entity
Organization
Contact information
Practice address
10310 W MARKHAM ST, SUITE 300, LITTLE ROCK, AR 72205-2175
(501) 225-1766
(501) 225-1624
Mailing address
10310 W MARKHAM ST, SUITE 300, LITTLE ROCK, AR 72205-2175
(501) 225-1766
(501) 225-1624
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X100
ARKANSAS BCBS
AR
01
—
U91657
UPIN
AR
Enumeration date
03/17/2008
Last updated
03/17/2008
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