James Eric Burchett, DDS Valid NPI
Individual provider · Pediatric Dentistry · O Fallon, MO
- NPI
- 1780878264
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 2006032360 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-08-28
- Last updated
- 2014-03-21
Practice location
2958 Highway K
O Fallon, MO 63368-7861
(636) 294-5437