Individual
DR. SAMUEL JACKSON BURROW III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS,ABO
Contact information
Practice address
2711 RANDOLPH RD, SUITE 600, CHARLOTTE, NC 28207-2034
(704) 334-7202
(704) 372-2690
Mailing address
2711 RANDOLPH RD STE 600, CHARLOTTE, NC 28207-2027
(704) 334-7202
(704) 377-6974
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4617
NC
Other
Enumeration date
08/31/2006
Last updated
06/05/2024
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