Individual
DR. BRADLEY ROBERT BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2819 E 29TH ST STE 1, JOPLIN, MO 64804-3270
(417) 621-0500
(417) 781-5809
Mailing address
620 W 32ND ST, JOPLIN, MO 64804-2549
(417) 621-0500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2005005794
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2005005794
MO
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2005005794
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005005794
DELTA DENTAL PROVIDER #
MO
01
—
1700470970
CONNECTION DENTAL NETWORK
MO
01
—
1763846
UNITED CONCORDIA NON-PAR
—
01
—
200505794
CIGNA DENTAL PAR
MO
Enumeration date
12/11/2006
Last updated
02/05/2026
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