Individual provider · Type 1 NPI

Samuel Jackson Burrow Iv, DDS, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Charlotte, NC

NPI number 1144653205 Active

Practice location

2711 Randolph Rd, Suite 600
Charlotte, NC 28207-2034

Call (704) 334-7202 Map

Fax (704) 372-6974

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9425 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1144653205

Samuel Jackson Burrow Iv, DDS, DMD's National Provider Identifier is 1144653205, issued on Aug 13, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Charlotte, NC. The record was last updated on Aug 13, 2013.