Clyde Walcey Burris, III III, D.D.S.

General Practice Dentistry · Ridgeway, VA

Individual Active NPI

NPI number 1194066860

Practice location

4950 Greensboro Rd
Ridgeway, VA 24148-3390
Phone
(276) 956-9000
Fax
(276) 956-9002

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NPI record

NPI
1194066860
Entity type
Individual (Type 1)
Enumeration date
March 6, 2013
Last updated
March 6, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401008649 VA

Mailing address

PO Box 483
Ridgeway, VA 24148-0483
Phone
(276) 956-9000
Fax
(276) 956-9002

About Dr. Burris, III

Clyde Walcey Burris, III III, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4950 Greensboro Rd, Ridgeway, VA 24148-3390. The NPI number 1194066860 was assigned on March 6, 2013 and the record was last updated on March 6, 2013.

Dr. Burris, III lists a license in the registry: #0401008649 (VA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clyde Walcey Burris, III III, D.D.S.?

The NPI number is 1194066860.

What is the phone number of Dr. Burris, III?

The phone number listed for the practice location is (276) 956-9000.

Where is Dr. Burris, III located?

4950 Greensboro Rd, Ridgeway, VA 24148-3390.

What is the taxonomy code for Dr. Burris, III?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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