DR. SAMUEL JACKSON BURROW IV


Address: 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034
Phone: 7043347202

DR. SAMUEL JACKSON BURROW IV (NPI# 1144653205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144653205
Entity Type Individual
Full Name DR. SAMUEL JACKSON BURROW IV
Credential DDS,DMD
Practice Address 2711 Randolph Rd
Suite 600
Charlotte
NC 28207-2034
Practice Telephone 7043347202
Practice Fax Number 7043726974
Mailing Telephone 7043347202
Mailing Fax Number 7043726974
Enumeration Date 2013-08-13
Last Update Date 2013-08-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
9425 NC Dental Providers

Other Providers SAMUEL BURROW

NPI Name Taxonomy Address Enumeration
1427169101 Samuel Jack Burrow IIi Dentist 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 2006-08-31

Office Location

Street Address 2711 RANDOLPH RD
SUITE 600
City CHARLOTTE
State NC
Zip Code 28207-2034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245233279 David W Mcallister Obstetrics & Gynecology 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 2005-05-23
1821521451 Prestige Health & Wellness Center, Pllc Clinic/Center 2711 Randolph Rd, Suite 207, Charlotte, NC 28207-2034 2017-04-10
1558804203 Nancy D. Marvin Nurse Practitioner 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 2016-11-29
1295108454 Py Hearing and Communication Center Audiologist 2711 Randolph Rd, Suite 307, Charlotte, NC 28207-2034 2015-11-09
1588052765 Veronica Laplante Rankin Nurse Practitioner 2711 Randolph Rd, Charlotte, NC 28207-2034 2014-12-22
1205238466 Brittney Foreman Mcguirt Physician Assistant 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 2014-09-19
1720493083 Anne Poutier Nurse Practitioner 2711 Randolph Rd, Charlotte, NC 28207-2034 2014-06-25
1134533540 Sean Henriquez Speech-Language Pathologist 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 2014-06-13
1689090474 Brandie Buckingham Physician Assistant 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 2014-03-17
1801239181 Elizabeth Whetstone Physical Therapist 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 2013-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487251344 Zammitti Gidaly Abrams Cohen & Associates V PC Dentist 13527 Steelecroft Pkwy Ste C, Charlotte, NC 28278-7887 2020-10-05
1710461520 A M Jackson & Associates Dds Ms Pllc Dentist 8430 University Exec Park Dr Ste 605, Charlotte, NC 28262-1353 2018-09-18
1528514726 Jeffrey Chad Johnson Dds Pllc Dentist 8840 Blakeney Professional Dr Ste 202, Charlotte, NC 28277-6718 2016-08-28
1659724904 M & M Lineberger Dds Ms Pa Dentist 347 N. Caswell, Charlotte, NC 29401 2016-07-21
1740539782 Orthodontic Care of Carolina, Pa Dentist 9320 Center Lake Drive, Suite100, Charlotte, NC 28216 2012-09-06
1578842001 Lauren Rennick Lockhart Dentist 2620 W Arrowood Rd, Suite 102, Charlotte, NC 28273-6199 2011-08-15
1164692224 Alfred Manwuel Jackson Dentist 13527 Steelecroft Pkwy, Suite C, Charlotte, NC 28278-7545 2008-03-05
1669685046 Sean Paul Connolly Dentist 11440 Carmel Commons Blvd, Suite 109, Charlotte, NC 28226-5308 2007-05-08
1952521122 Nanci Lara De Felippe Dentist 12311 Cherrybark Ln, Charlotte, NC 28278 2007-04-27
1134347768 Amy Dover Dentist 11030 S. Tryon St., Suite 303, Charlotte, NC 28012 2007-04-20
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Competitor

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City CHARLOTTE
Zip Code 28207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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