Individual
DR. JEFFREY R BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5525 W 119TH ST, STE 215, OVERLAND PARK, KS 66209-3724
(913) 258-5696
(913) 258-5697
Mailing address
5525 W 119TH ST, STE 215, OVERLAND PARK, KS 66209-3724
(913) 258-5696
(913) 258-5697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-026760
IL
122300000X
Dentist
7054
NE
1223E0200X
Endodontics
Primary
61135
KS
Other
Enumeration date
09/16/2005
Last updated
03/01/2017
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