| Smile Burns | |
|
711 Ponderosa Vlg Burns OR 97720-2315 | |
| (541) 589-4202 | |
| Not Available |
| Full Name | Smile Burns |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 711 Ponderosa Vlg, Burns, Oregon |
| Authorized Official Name and Position | Kelley Ray Mingus (OWNER) |
| Authorized Official Contact | 5413826565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Burns 711 Ponderosa Vlg Burns OR 97720-2315 Ph: (541) 589-4202 | Smile Burns 711 Ponderosa Vlg Burns OR 97720-2315 Ph: (541) 589-4202 |
| NPI Number | 1326858119 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326858119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Burns Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Adams St, Burns, OR 97720 Phone: 541-573-7778 Fax: 541-573-1191 | |
Equity Dental Clinics Burns, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Ponderosa Vlg, Burns, OR 97720 Phone: 541-680-9028 |