Smile Burns

NPI #1326858119 in Burns, Oregon

Provider Information

NPI Number: 1326858119
Entity Type: Organization
Organization Name: Smile Burns
Subpart: Yes (part of a larger organization)
Parent Organization: DR. KELLEY MINGUS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 711 PONDEROSA VLG
City: Burns
State: Oregon
ZIP Code: 97720-2315
Phone: (541) 589-4202

Authorized Official

Name: DR. KELLEY RAY MINGUS, DMD
Title: OWNER
Phone: (541) 382-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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