Brad Reese Burks in Springfield - Periodontics
Brad Reese Burks - NPI 1295743318
Brad Reese Burks is a Periodontics in Springfield, Missouri. Brad Reese Burks practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brad Reese Burks is 1295743318. The last update date is 2007-07-08.
Brad Reese Burks's current location address is 1355 E Bradford Pkwy Ste D, Springfield, Missouri. You can contact this provider via phone number 4178824600 and fax number 4178821677. The mailing address for Brad Reese Burks is 1355 E Bradford Pkwy Ste D, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brad Reese Burks |
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Address | 1355 E Bradford Pkwy Ste D, Springfield, Missouri |
Phone Number | 4178824600 |
Fax Number | 4178821677 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1295743318 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1355 E Bradford Pkwy Ste D |
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City | Springfield |
State | Missouri (MO) |
Post Code | 658044200 |
Phone Number | 4178824600 |
Fax Number | 4178821677 |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | DE014923 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Brad Reese Burks by the Centers for Medicare & Medicaid Services?
The Brad Reese Burks has been issued the NPI (National Provider Identifier) 1295743318 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brad Reese Burks is geographically located?
The Brad Reese Burks is physically situated at the following location: 1355 E Bradford Pkwy Ste D, Springfield, MO, 658044200.
What is Brad Reese Burks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brad Reese Burks is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When did the Brad Reese Burks receive its 1295743318?
The Brad Reese Burks was issued its 1295743318 on 2006-08-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Brad Reese Burks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad Reese Burks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.