Individual
BEVON BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 FAMILY PRACTICE DR, KINGSTON, NY 12401-6449
(845) 338-6400
Mailing address
1 FAMILY PRACTICE DR, KINGSTON, NY 12401-6449
(845) 338-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047038
NY
122300000X
Dentist
DN013697
GA
Other
Enumeration date
05/23/2006
Last updated
04/27/2022
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