MEDICARE: MRS. BRITTANY WILLIAMS BURKHARD DDS

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	11092	NC

General Provider Information

NPI Number	:	1932693066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY WILLIAMS BURKHARD DDS

Provider Business Mailing Address
First Line	:	4150 OWLS HEAD RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-8800
Country	:	US
Telephone Number	:	910-813-4762
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 MAPLE GROVE CHURCH RD
Second Line	:
City	:	DUNN
State	:	NC
Zip	:	28334-7688
Country	:	US
Telephone Number	:	877-935-5255
Fax Number	:

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

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	06/21/2018

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