NPI 1427169101 · live from the CMS NPI Registry
Samuel Jackson Burrow, DDS, MS,ABO
Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, NC. National Provider Identifier 1427169101, active.
NPI record
| NPI | 1427169101 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 |
| Mailing address | 2711 Randolph Rd Ste 600, Charlotte, NC 28207 |
| Enumerated | August 31, 2006 |
| Last updated | June 5, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 4617 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.