Bradley Robert Burnett in Joplin - Plastic Surgery Within The Head And Neck
Bradley Robert Burnett - NPI 1174683254
Bradley Robert Burnett is a Plastic Surgery Within The Head And Neck in Joplin, Missouri. Bradley Robert Burnett practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Bradley Robert Burnett is 1174683254. The last update date is 2023-07-12.
Bradley Robert Burnett's current location address is 620 W 32nd St, Joplin, Missouri. You can contact this provider via phone number 4176210500. The mailing address for Bradley Robert Burnett is 620 W 32nd St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Robert Burnett |
|---|---|
| Address | 620 W 32nd St, Joplin, Missouri |
| Phone Number | 4176210500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174683254 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2023-07-12 |
Provider Mailing Address Detail
| Address | 620 W 32nd St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648042549 |
| Phone Number | 4176210500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | 2005005794 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1763846 | UNITED CONCORDIA NON-PAR | ||
| 200505794 | MO | CIGNA DENTAL PAR | |
| 1700470970 | MO | CONNECTION DENTAL NETWORK | |
| 5005794 | MO | DELTA DENTAL PROVIDER # |
Post Comment/ Review Below
What is the Bradley Robert Burnett's 1174683254?
The Bradley Robert Burnett's NPI (National Provider Identifier) Number is 1174683254. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bradley Robert Burnett located?
The Bradley Robert Burnett is located at 620 W 32Nd St, Joplin, MO 648042549.
What is Bradley Robert Burnett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley Robert Burnett is Plastic Surgery Within The Head And Neck, and the taxonomy code that classifies this field of practice is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174683254 to Bradley Robert Burnett?
The Centers for Medicare & Medicaid Services originally issued the 1174683254 to Bradley Robert Burnett on 2006-12-11.
When was the information regarding Bradley Robert Burnett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Robert Burnett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-12.
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