| Brad R. Burks, D.m.d., P.c. | |
| 
					1355 E Bradford Pkwy Ste D Springfield MO 65804  | |
| (417) 882-4600 | |
| (417) 882-1677 | 
| Full Name | Brad R. Burks, D.m.d., P.c. | 
|---|---|
| Speciality | Dentist - Periodontics | 
| Location | 1355 E Bradford Pkwy, Springfield, Missouri | 
| Authorized Official Name and Position | Brad Reese Burks (PRESIDENT) | 
| Authorized Official Contact | 4178824600 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brad R. Burks, D.m.d., P.c. 1355 E Bradford Pkwy Ste D Springfield MO 65804 Ph: (417) 882-4600  | Brad R. Burks, D.m.d., P.c. 1355 E Bradford Pkwy Ste D Springfield MO 65804 Ph: (417) 882-4600  | 
| NPI Number | 1770368177 | 
|---|---|
| Provider Enumeration Date | 08/25/2023 | 
| Last Update Date | 08/25/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770368177 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary | 
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