MR. CLYDE WALCEY BURRIS, III III D.D.S.
NPI 1194066860
Dentist - General Practice in Ridgeway, VA

Q: What is Clyde Burris, Iii's NPI number?

The NPI number for Clyde Burris, Iii is 1194066860. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Q: What is Clyde Burris, Iii's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Burris, Iii was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2013

4950 GREENSBORO RD, RIDGEWAY, VA 24148(276) 956-9000(276) 956-9002 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Clyde Walcey Burris, Iii Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLYDE WALCEY BURRIS, III III D.D.S. (NPI 1194066860) is an individual general practice provider in Ridgeway, Virginia, licensed in Virginia (0401008649) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1194066860

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. CLYDE WALCEY BURRIS, III IIICredential: D.D.S.

Location Address4950 GREENSBORO RDRidgeway, VA 24148-3390

Mailing AddressPo Box 483Ridgeway, VA 24148-0483 · (276) 956-9000 · Fax (276) 956-9002

Phone(276) 956-9000

Fax(276) 956-9002

Sole ProprietorNo

Enumeration DateMarch 6, 2013

✔ NPI 1194066860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401008649

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4950 GREENSBORO RD, Ridgeway, VA 24148

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLYDE WALCEY BURRIS, III, D.D.S., P.C.

Dentist (General Practice)

4950 GREENSBORO RD
RIDGEWAY, VA 24148

Henry County (276) 956-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Burris, Iii's NPI number?

The NPI number for Clyde Burris, Iii is 1194066860. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Clyde Burris, Iii located?

Clyde Burris, Iii practices at 4950 Greensboro Rd, Ridgeway, VA 24148. The listed phone number is (276) 956-9000.

What is Clyde Burris, Iii's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clyde Burris, Iii was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.