Provider Demographics
NPI:1184194755
Name:WILLIAM H BURROW DDS PLLC DBA HIGH COUNTRY DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:WILLIAM H BURROW DDS PLLC DBA HIGH COUNTRY DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:BURROW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-773-4212
Mailing Address - Street 1:PO BOX 1532
Mailing Address - Street 2:
Mailing Address - City:BANNER ELK
Mailing Address - State:NC
Mailing Address - Zip Code:28604-1532
Mailing Address - Country:US
Mailing Address - Phone:828-773-4212
Mailing Address - Fax:828-898-8344
Practice Address - Street 1:2043 TYNECASTLE HIGHWAY
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604
Practice Address - Country:US
Practice Address - Phone:828-898-8043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental