Organization
CLYDE WALCEY BURRIS, III, D.D.S., P.C.
Active
Other names
C. Walcey Burris, III, D.D.S., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE WALCEY BURRIS III D.D.S. (PRESIDENT)
(276) 956-9000
Entity
Organization
Contact information
Practice address
4950 GREENSBORO RD, RIDGEWAY, VA 24148-3390
(276) 956-9000
(276) 956-9002
Mailing address
PO BOX 483, RIDGEWAY, VA 24148-0483
(276) 956-9000
(276) 956-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008649
VA
1223G0001X
General Practice Dentistry
3393
SC
1223G0001X
General Practice Dentistry
6657
NC
Other
Enumeration date
05/06/2007
Last updated
08/22/2020
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