Provider Demographics
NPI:1134119753
Name:BURNS, YVETTE L (DDS,MS)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:L
Last Name:BURNS
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 HAMILTON PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6038
Mailing Address - Country:US
Mailing Address - Phone:423-892-4727
Mailing Address - Fax:
Practice Address - Street 1:208 RING RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3987
Practice Address - Country:US
Practice Address - Phone:423-877-7886
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS76401223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics