Individual
DR. BILL CARLTON BURNSIDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 N 2ND ST, ALBEMARLE, NC 28001-3939
(704) 983-2131
(704) 983-2132
Mailing address
255 N 2ND ST, ALBEMARLE, NC 28001-3939
(704) 983-2131
(704) 983-2132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-91208
—
NC
01
—
91208
BCBS NC
NC
Enumeration date
06/05/2006
Last updated
07/08/2007
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