| Burcham Dental Arts Clinic | |
|
205 Teaco Rd Kennett MO 63857-3236 | |
| (573) 888-3521 | |
| (573) 888-0973 |
| Full Name | Burcham Dental Arts Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 Teaco Rd, Kennett, Missouri |
| Authorized Official Name and Position | Britt D Burcham (PRESIDENT) |
| Authorized Official Contact | 5738883521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burcham Dental Arts Clinic 205 Teaco Rd P.o. Box 766 Kennett MO 63857-3236 Ph: (573) 888-3521 | Burcham Dental Arts Clinic 205 Teaco Rd Kennett MO 63857-3236 Ph: (573) 888-3521 |
| NPI Number | 1982633699 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 12/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982633699 | NPI | - | NPPES |
| 3031860 | Other | TN | BLUE CROSS BLUE SHIELD |
| 856721 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015011 (Missouri) | Primary |
Otto Bean Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Kennett, MO 63857 Phone: 573-888-3000 Fax: 573-888-3003 | |
Doing Business As Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 1st St, Kennett, MO 63857 Phone: 573-888-9944 Fax: 573-888-9789 |