Individual
DR. WILLIAM H. BURKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1326 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-4875
(785) 242-5325
Mailing address
1326 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-4875
(785) 242-5325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5996
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12381011
BLUE CROSS BLUE SHIELD OF KANSAS CITY
—
01
—
698738
TRICARE
—
01
—
8213
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/26/2013
Last updated
06/26/2013
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