NPI 1255420741 · live from the CMS NPI Registry
A G Burris, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Beaufort, SC. National Provider Identifier 1255420741, active.
NPI record
| NPI | 1255420741 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 960 Ribaut Rd, Suite 2, Beaufort, SC 29902 |
| Practice phone | 843-525-6228 |
| Enumerated | October 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 1615 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.