DR. SAMUEL JACK BURROW III (NPI# 1427169101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427169101 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JACK BURROW III |
| Credential | DDS, MS,ABO |
| Practice Address |
2711 Randolph Rd Suite 600 Charlotte NC 28207-2034 |
| Mailing Address |
5927 Laurium Rd Charlotte NC 28226-5615 |
| Practice Telephone | 7043347202 |
| Practice Fax Number | 7043722690 |
| Mailing Telephone | 7046170632 |
| Mailing Fax Number | 7043779790 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4617 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
| Street Address |
2711 RANDOLPH RD SUITE 600 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2034 |
| 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 |
| 1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| 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 |
| Find all providers in CHARLOTTE | ||||
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| 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.