Individual
DR. BURRUS DURHAM SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1905 N CANNON BLVD, KANNAPOLIS, NC 28083-2626
(704) 938-6136
(704) 938-7870
Mailing address
PO BOX 1318, KANNAPOLIS, NC 28082-1318
(704) 938-6136
(704) 938-7870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7997885
—
NC
Enumeration date
08/07/2007
Last updated
08/07/2007
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