Organization · Type 2 NPI

S.j.burrow,iii.d.d.s.,m.s.,p.l.l.c.

Orthodontics and Dentofacial Orthopedics Dentistry · Charlotte, NC

NPI number 1619208030 Active

Practice location

10320 Mallard Creek Rd, Suite 150
Charlotte, NC 28262-9756

Call (704) 547-8438 Map

Fax (704) 372-2690

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X4617 (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 1619208030

S.j.burrow,iii.d.d.s.,m.s.,p.l.l.c.'s National Provider Identifier is 1619208030, issued on Jan 25, 2010. 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 Jan 26, 2010.