Organization
BURLESON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. BURLESON D.D.S. (DENTIST)
(501) 843-5808
Entity
Organization
Contact information
Practice address
3284 HIGHWAY 367 S, CABOT, AR 72023-7444
(501) 843-5808
(501) 941-3572
Mailing address
3284 HIGHWAY 367 S, CABOT, AR 72023-7444
(501) 843-5808
(501) 941-3572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2045
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045
STATE LICENSE NUMBER
AR
Enumeration date
10/11/2006
Last updated
08/22/2020
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