Most Relevant Information
Provider Data
| NPI Number: | 1003548405 |
| Provider Name: | JACOB KEITH BURCH DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 12843 |
Most Important Dates
| Enumeration Date: | 06/26/2022 |
| Last Updated: | 06/26/2022 |
Provider Practice Location
801 PLAZA BLVD
KINSTON
NC
285012143
Practice Location Phone/Fax
| Phone: | 2523710117 |
| Fax: |
Provider Mailing Location
2004 CHARITY LN
WINTERVILLE
NC
285907972
Provider Mailing Phone/Fax
| Phone: | 2526765500 |
| Fax: |