MEDICARE: DR. WILLIAM SAMUEL BURNS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	3540	SC

General Provider Information

NPI Number	:	1528064938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM SAMUEL BURNS DMD

Provider Business Mailing Address
First Line	:	264 ROCKMONT DR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6477
Country	:	US
Telephone Number	:	803-802-9030
Fax Number	:	803-802-3152

Provider Business Practice Location Address
First Line	:	264 ROCKMONT DR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6477
Country	:	US
Telephone Number	:	803-802-9030
Fax Number	:	803-802-3152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	06/03/2008

Similar Medicare Providers

1528235330 — WILLIAM S. BURNS, D.M.D, P.A.
Practice Location Address:

264 ROCKMONT DR
FORT MILL, SC
29708-6477

Practice Phone: 803-802-3090
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1013296763 — DR. HOLLI MICHELLE HILL D.O.
Practice Location Address:

230 ROCKMONT DR
FORT MILL, SC
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1891269205 — LAURA SIMPSON
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246 ROCKMONT DR
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Practice Phone: 704-492-5272
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1770242695 — COREY LEIGHTON RILEY LPC
Practice Location Address:

246 ROCKMONT DR
FORT MILL, SC
29708-6477

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1568248011 — TIMOTHY B HUGHES MED, LPC
Practice Location Address:

246 ROCKMONT DR
FORT MILL, SC
29708-6477

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Practice Fax:

1669357869 — DUSTIN NEAL SIMON LPCA
Practice Location Address:

246 ROCKMONT DR
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29708-6477

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Practice Fax: 803-845-3738

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