Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jairus J Burpo

Individual provider Dentist · NPI 1184316473

Jairus J Burpo is a Dentist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1500 Park Ave
Saint Louis, MO 63104-3024
Phone: (141) 752-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6343613213 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184316473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

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