IndividualActive
Brad Burks, DMD
NPI 1295743318 · Periodontics · Springfield, MO
Provider details
- NPI number
- 1295743318
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE014923 (MO)
Practice location
1355 E Bradford Pkwy Ste D
Springfield, MO 65804-4200
Phone: (417) 882-4600
Fax: (417) 882-1677
Mailing address
1355 E Bradford Pkwy Ste D
Springfield, MO 65804-4200
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.