OrganizationActive
Burris-Dake LLC
NPI 1417258393 · Orthodontics and Dentofacial Orthopedics Dentistry · Poplar Bluff, MO
Provider details
- NPI number
- 1417258393
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Benjamin Burris, Orthodontist(573) 776-1355
Specialties & taxonomies
Dental Providers
Practice location
2951 Kanell Blvd
Poplar Bluff, MO 63901-4008
Phone: (573) 776-1355
Fax: (573) 776-1167
Approximate (ZIP-level) locationGet directions
Mailing address
2951 Kanell Blvd
Poplar Bluff, MO 63901-4008
Other names (DBA / former)
- Doing business as
- Poplar Bluff Orthodontics
Registry dates
- Enumerated
- 2010-11-09
- Last updated
- 2010-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.