Provider Demographics
NPI:1285688051
Name:BURN-TURNAGE, BEVERLY DUNCAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:DUNCAN
Last Name:BURN-TURNAGE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1363
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29342-1363
Mailing Address - Country:US
Mailing Address - Phone:864-488-0644
Mailing Address - Fax:864-488-2538
Practice Address - Street 1:220 OVERBROOK DR
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341
Practice Address - Country:US
Practice Address - Phone:864-488-0644
Practice Address - Fax:864-489-2538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice