Provider Demographics
NPI:1063519676
Name:BURNETT, HUGH FRANKLIN III (DDS)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:FRANKLIN
Last Name:BURNETT
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10310 W MARKHAM
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-225-1766
Mailing Address - Fax:501-225-1624
Practice Address - Street 1:10310 W MARKHAM
Practice Address - Street 2:SUITE 300
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-225-1766
Practice Address - Fax:501-225-1624
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR33991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5X100OtherBCBS AR
AR5X100Medicare ID - Type Unspecified
U91657Medicare UPIN