Individual provider · NPI-1

Dr. William Paul Burns Sr., D.D.S.

Dentist, General Practice · O Fallon, MO

NPI number1720146525
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720146525
Entity type
Individual (NPI-1)
Name
Dr. William Paul Burns Sr.
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 5, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice15172MOYes

Practice location

2315 Technology Dr
Suite 101
O Fallon, MO 63368-7370

Phone 636-561-9255 · Fax 636-561-9265

Mailing address

2315 Technology Dr
Suite 101
O Fallon, MO 63368-7370

Phone 636-561-9255 · Fax 636-561-9265

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