Organization
BRYANT P. BURKETT DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYANT P BURKETT DDS (DENTIST)
(765) 561-4495
Entity
Organization
Contact information
Practice address
5310 PEARL DR STE C, EVANSVILLE, IN 47712-8105
(812) 422-1135
Mailing address
5310 PEARL DR STE C, EVANSVILLE, IN 47712-8105
(812) 422-1135
(812) 422-1978
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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