Individual provider · Type 1 NPI

Amy Ellis Burleson, DDS

Pediatric Dentistry · Kansas City, MO

NPI number 1003912874 Active

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Call (816) 234-3257 Map

Mailing address

2401 Gillham Road, Provider Enrollment Department
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2002013150 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1003912874

Amy Ellis Burleson, DDS's National Provider Identifier is 1003912874, issued on Sep 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kansas City, MO. The record was last updated on May 1, 2025.