# BURGESS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John P Burgess dds
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285123471
- **Authorized official:** DR. JOHN PATRICK BURGESS DDS (OWNER)
- **Authorized official phone:** (304) 346-4820

## Contact information

- **Practice address:** 405 CAPITOL STREET, THE PARLOR SUITE, CHARLESTON, WV 25301
- **Practice address phone:** (304) 550-8181
- **Practice address fax:** (304) 346-4842
- **Mailing address:** 405 CAPITOL STREET, THE PARLOR SUITE, CHARLESTON, WV 25301
- **Mailing address phone:** (304) 550-8181
- **Mailing address fax:** (304) 346-4842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1038-9730 | WV | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018