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Contact Information

BEVON BURNETT, DDS
1 FAMILY PRACTICE DR
KINGSTON, NY12401-6449
 Phone: 845-338-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BEVON BURNETT · (Male)

NPI Number 1447205901
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/23/2006
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # DN013697
  • NY License # 047038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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