National Provider Identifier

Stephanie Lynn Burroughs, DDS

Stephanie Lynn Burroughs, DDS is listed in the NPPES registry with a primary specialty of Dentist in Avon, NY and a listed phone number of (585) 226-3113.

NPI 1366533887Avon, NYDentist

Profile Overview

NPI
1366533887
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
September 28, 2006
Last Updated
May 12, 2008

Practice Location

  • 74 W Main St
  • Avon, NY 14414-1136

Phone: (585) 226-3113

Specialties

  • Dentist (122300000X)
Full Record
NPI
1366533887
Entity Type
Individual
Last Name
Burroughs
First Name
Stephanie
Middle Name
Lynn
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
74 W Main St
Mailing City
Avon
Mailing State
NY
Mailing ZIP Code
14414-1136
Mailing Country
US
Mailing Phone
(585) 226-3113
Practice Street Address
74 W Main St
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-1136
Practice Country
US
Practice Phone
(585) 226-3113
Enumeration Date
September 28, 2006
Last Updated
May 12, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)
Other Identifiers
02348772 (NY)