Provider Demographics
NPI:1013367721
Name:BURNS, DAVID TAYLOR (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TAYLOR
Last Name:BURNS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:D
Other - Middle Name:TAYLOR
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8600 NW 64TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3577
Mailing Address - Country:US
Mailing Address - Phone:816-741-7477
Mailing Address - Fax:816-741-4714
Practice Address - Street 1:8600 NW 64TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3577
Practice Address - Country:US
Practice Address - Phone:816-741-7477
Practice Address - Fax:816-741-4714
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016018575122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist