Healthcare Provider Details

I. General information

NPI: 1922926039
Provider Name (Legal Business Name): JAMES BURRIS, D.M.D, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E DEYOUNG ST
MARION IL
62959-5015
US

IV. Provider business mailing address

1601 E DEYOUNG ST
MARION IL
62959-5015
US

V. Phone/Fax

Practice location:
  • Phone: 618-318-5368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES JOSEPH BURRIS
Title or Position: OWNER
Credential: DMD
Phone: 618-318-5368