Organization
BRAD R. BURKS, D.M.D., P.C.
Active
Other names
Ozark Mountain Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD REESE BURKS D.M.D. (PRESIDENT)
(417) 882-4600
Entity
Organization
Contact information
Practice address
1355 E BRADFORD PKWY, STE D, SPRINGFIELD, MO 65804
(417) 882-4600
(417) 882-1677
Mailing address
1355 E BRADFORD PKWY, STE D, SPRINGFIELD, MO 65804
(417) 882-4600
(417) 882-1677
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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