Organization
ERIC AND CASEY BURNS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BURNS (DENTIST)
(910) 799-9059
Entity
Organization
Contact information
Practice address
4914 RANDALL PKWY, WILMINGTON, NC 28403-2879
(910) 799-9059
Mailing address
4914 RANDALL PKWY, WILMINGTON, NC 28403-2879
(910) 799-9059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7963
LA
1223G0001X
General Practice Dentistry
Primary
8451
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487733218
NPI
NC
01
—
1992775118
NPI
NC
01
—
275206749
TAX ID
—
05
—
5912740
—
NC
Enumeration date
04/23/2014
Last updated
04/23/2014
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