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DR. JOHN MICHAEL BURROWS D.D.S.
Pediatric Dentistry >> Dentist >> Dental ProvidersRegistrant NPI Number: 1225211196
Individual Registrant:DR. JOHN MICHAEL BURROWS D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
303 BANCARIO STE 11-12 MARION, AR 72364-2825 US
Tel: 870-739-2992 Fax: 870-739-8597
Tel: 870-739-2992 Fax: 870-739-8597
Contact information for business:
303 BANCARIO STE 11-12 MARION, AR 72364-2825 US
Tel: 870-739-2992 Fax: 870-739-8597
Tel: 870-739-2992 Fax: 870-739-8597
Registration Information:
NPI: 1225211196
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223P0221X | Dental Providers Dentist Pediatric Dentistry | TN | DS7983 |
| Y | 1223P0221X | Dental Providers Dentist | AR | 3647 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 168709608 | AR | 05 | |
| 5440749 | TN | 05 |
