Individual
SALLY POPE-BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1907 OLD MAIN ST, MAYSVILLE, KY 41056-8926
(606) 759-5401
(606) 759-5783
Mailing address
1907 OLD MAIN ST, MAYSVILLE, KY 41056-8926
(606) 759-5401
(606) 759-5783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6783
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500384500
—
KY
05
—
60067832
—
KY
05
—
6194309800
—
KY
01
—
642325
UNITED CONCORDIA
KY
Enumeration date
01/16/2007
Last updated
07/08/2007
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