# ANDRE BURGESS, DDS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801246913
- **Authorized official:** DR. ANDRE BURGESS D.D.S. (PRESIDENT)
- **Authorized official phone:** (310) 671-1234

## Contact information

- **Practice address:** 808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914
- **Practice address phone:** (310) 671-1234
- **Mailing address:** 808 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60360 | CA | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016