Individual
DR. RANDALL L BURNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5402 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3136
(712) 276-8432
(712) 276-4144
Mailing address
5402 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3136
(712) 276-8432
(712) 276-4144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06225
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144790
—
IA
Enumeration date
11/28/2006
Last updated
07/08/2007
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