Provider Demographics
NPI:1437205002
Name:BURK, ROY NEAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:NEAL
Last Name:BURK
Suffix:
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:PO BOX 750
Mailing Address - Street 2:
Mailing Address - City:LITTLEFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79339-0750
Mailing Address - Country:US
Mailing Address - Phone:806-385-4435
Mailing Address - Fax:806-385-5414
Practice Address - Street 1:320 E 8TH ST
Practice Address - Street 2:
Practice Address - City:LITTLEFIELD
Practice Address - State:TX
Practice Address - Zip Code:79339-3821
Practice Address - Country:US
Practice Address - Phone:803-385-4435
Practice Address - Fax:806-385-5414
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11558122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist