Provider Demographics
NPI:1073643656
Name:BURNS, RICHARD HOWARD JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HOWARD
Last Name:BURNS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2684
Mailing Address - Country:US
Mailing Address - Phone:330-343-9911
Mailing Address - Fax:330-602-4277
Practice Address - Street 1:246 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2684
Practice Address - Country:US
Practice Address - Phone:330-343-9911
Practice Address - Fax:330-602-4277
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0181661223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics