NPI 1144653205 · live from the CMS NPI Registry
Samuel Jackson Burrow, DDS,DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, NC. National Provider Identifier 1144653205, active.
NPI record
| NPI | 1144653205 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207 |
| Practice phone | 704-334-7202 |
| Enumerated | August 13, 2013 |
| Last updated | August 13, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 9425 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.