Individual
TODD C. BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7070 RENNER RD, SUITE 202, SHAWNEE, KS 66217-3047
(913) 268-0888
(913) 268-3752
Mailing address
7070 RENNER RD, SUITE 202, SHAWNEE, KS 66217-3047
(913) 268-0888
(913) 268-3752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60148
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200175
BCBS OF KS PROVIDER NUMBE
KS
01
—
32438028
BCBS OF KC PROVIDER #
KS
Enumeration date
01/05/2006
Last updated
03/04/2008
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