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General NPI Number Information
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NPI Number | 1487781878
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Entity Type | Individual
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Provider Name | BARRY L BURKETT DMD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 87 SARAHS LN
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City | SOMERSET
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State | KY
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Zip | 42503-2789
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Country | US
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Telephone | 606-679-3010
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Fax | 606-679-2181
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Provider Business Mailing Address
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Address Line | 2057 FAUBUSH RD
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City | FAUBUSH
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State | KY
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Zip | 42544-6587
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Country | US
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Telephone | 606-871-7800
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Fax | 606-871-0328
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 5395
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5395
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License Number State | KY
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