Mr Clyde Walcey Burris, Iii Iii, DDS is a
Dentist - General Practice based in Ridgeway, Virginia. Mr Clyde Walcey Burris, Iii Iii is licensed to practice in Virginia (license number 0401008649) and his current practice location is
4950 Greensboro Rd, Ridgeway, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 956-9000.
NPI number for Mr Clyde Walcey Burris, Iii Iii is 1194066860 and his current mailing address is Po Box 483, Ridgeway, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194066860.
Healthcare Provider's Profile
| Full Name | Mr Clyde Walcey Burris, Iii Iii |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 4950 Greensboro Rd, Ridgeway, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194066860
- Provider Enumeration Date: 03/06/2013
- Last Update Date: 03/06/2013
Medical Identifiers
Medical identifiers for Mr Clyde Walcey Burris, Iii Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194066860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 0401008649 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clyde Walcey Burris, Iii Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Clyde Walcey Burris, Iii Iii, DDS
Po Box 483,
Ridgeway, VA 24148-0483
Ph: (276) 956-9000 | Mr Clyde Walcey Burris, Iii Iii, DDS
4950 Greensboro Rd,
Ridgeway, VA 24148-3390
Ph: (276) 956-9000 |
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