IndividualActive
Bradley Burnett, DDS
NPI 1174683254 · Oral & Maxillofacial Surgery (D.M.D.) · Joplin, MO
Provider details
- NPI number
- 1174683254
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2005005794 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician2082S0099XLicense 2005005794 (MO)
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
2819 E 29th St Ste 1
Joplin, MO 64804-3270
Phone: (417) 621-0500
Fax: (417) 781-5809
Approximate (ZIP-level) locationGet directions
Mailing address
620 W 32nd St
Joplin, MO 64804-2549
Additional practice locations (1)
- 1602 N Broadway StPittsburg, KS 66762-3022Phone: (620) 670-6775
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.