Dr. Bradley Robert Burnett
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
620 West 32nd St Suite A
Joplin
, Missouri 64804-1623
Dr. Bradley Robert Burnett
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
620 West 32nd St Suite A
Joplin
, Missouri 64804-1623
(417) 621-0500
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley Robert Burnett
- 620 W 32nd St
- Joplin, MO
- Zip : 64804-2549
- Phone : (417) 621-0500
Second Address
- Dr. Bradley Robert Burnett
- 620 West 32nd St Suite A
- Joplin, MO
- Zip : 64804-1623
- Fax : (417) 781-5809
- Phone : (417) 621-0500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2005005794 | MO |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 2005005794 | MO |
National Provider Identifier
| NPI | 1174683254 |
|---|---|
| Provider Name | Dr. Bradley Robert Burnett |
| First Address | Joplin, MO 64804-2549 |
| Second Address | Joplin, MO 64804-1623 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 29/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005005794 | DELTA DENTAL PROVIDER # (01) | MO |
| 1700470970 | CONNECTION DENTAL NETWORK (01) | MO |
| 1763846 | UNITED CONCORDIA NON-PAR (01) | |
| 200505794 | CIGNA DENTAL PAR (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.