Provider Demographics
NPI:1649209297
Name:BURNS, ROBERT C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:BURNS
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 1:8600 NW 64TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3506
Mailing Address - Country:US
Mailing Address - Phone:816-741-7477
Mailing Address - Fax:816-741-4714
Practice Address - Street 1:8600 NW 64TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3506
Practice Address - Country:US
Practice Address - Phone:816-741-7477
Practice Address - Fax:816-741-4714
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0106121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice