Burnett, Bradley Robert

Burnett, Bradley Robert is an sole proprietor health care provider with primary practice located at 620 West 32Nd St Suite A, Joplin MO 64804-1623. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Burnett, Bradley Robert can be contacted via phone (417) 621-0500.

Contact Information

Primary practice address
620 West 32Nd St Suite A Joplin MO 64804-1623
Phone: (417) 621-0500
Fax: (417) 781-5809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2005005794 Missouri
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 2005005794 Missouri
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2005005794 Missouri

Profile Details

NPI number 1174683254
LBN Legal business name Burnett, Bradley Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174683254 NPPES
Other 1763846 UNITED CONCORDIA NON-PAR
Other 200505794 UNITED CONCORDIA NON-PAR
Other 1700470970 UNITED CONCORDIA NON-PAR
Other 005005794 UNITED CONCORDIA NON-PAR

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