POPLAR BLUFF ORTHODONTICS
NPI 1417258393
Dentist - Orthodontics and Dentofacial Orthopedics in Poplar Bluff, MO

Active since November 09, 2010
2951 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 776-1355(573) 776-1167 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Poplar Bluff Orthodontics NPPES

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

POPLAR BLUFF ORTHODONTICS (NPI 1417258393) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Poplar Bluff, Missouri and active in the NPI registry since November 2010. The organization lists Benjamin G Burris, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1417258393
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBURRIS-DAKE LLC
Location Address2951 KANELL BLVDPoplar Bluff, MO 63901-4008
Mailing Address2951 Kanell BlvdPoplar Bluff, MO 63901-4008 · (573) 776-1355 · Fax (573) 776-1167
Fax(573) 776-1167
Organization SubpartNo
Authorized OfficialBenjamin G BurrisOrthodontist · 15737761355
Enumeration DateNovember 9, 2010
NPI 1417258393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2951 KANELL BLVD, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsPoplar Bluff Orthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Dentist (Pediatric Dentistry)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Dentist (Orthodontics and Dentofacial Orthopedics)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Dentist (Orthodontics and Dentofacial Orthopedics)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Dentist (Pediatric Dentistry)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901

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 Burris-Dake LLC's NPI number?

The NPI number for Burris-Dake LLC is 1417258393. It was assigned to this organization in the NPPES registry on November 9, 2010. The provider is doing business as Poplar Bluff Orthodontics.

Where is Burris-Dake LLC located?

Burris-Dake LLC is located at 2951 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 776-1355.

What is Burris-Dake LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Burris-Dake LLC was last updated on November 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.