Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLYDE WALCEY BURRIS, III III, D.D.S.
ActiveMR. CLYDE WALCEY BURRIS, III III, D.D.S. is a General Dentistry healthcare provider located in RIDGEWAY, Virginia. NPI 1194066860 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RIDGEWAY, VA
Registration Details
- NPI Number
- 1194066860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2013 (13.454276407003 yrs)
- Last Updated
- Mar 6, 2013
- License
-
0401008649 (VA)
Practice Information
- Address
-
4950 GREENSBORO RDRIDGEWAY, VA, 241483390Browse VA providers · Browse ZIP 24148
- Phone
- 2769569000
- Fax
- 2769569002
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.