Individual
KENT DOUGLAS BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1711 NW GRANT AVE, CORVALLIS, OR 97330
(541) 754-1668
(541) 758-3010
Mailing address
1711 NW GRANT AVE, CORVALLIS, OR 97330
(541) 754-1668
(541) 758-3010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7437
OR
1223G0001X
General Practice Dentistry
Primary
D7437
OR
Other
Enumeration date
10/10/2006
Last updated
09/11/2025
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