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Contact Information

KRISTEN A BURRIS, D.D.S. L.L.C.
1515 SOUTH MAIN STREET
SHATTUCK, OK73858
 Phone: 580-938-2566
 Fax: 580-938-2567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KRISTEN A BURRIS, D.D.S. L.L.C.

NPI Number 1285801324
LBN Legal business name KRISTEN A BURRIS, D.D.S. L.L.C.
Authorized official KRISTEN BURRIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2008
Last updated 05/08/2008 - About 18 years ago
Identifiers
OK License # 4628
OK Medicaid 100090140A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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