# DANIEL J. BURGIN, D.M.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniel J. Burgin, D.M.D. PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811588221
- **Authorized official:** DR. DANIEL JOHN BURGIN DMD (OWNER)
- **Authorized official phone:** (865) 584-5611

## Contact information

- **Practice address:** 6230 HIGHLAND PLACE WAY STE 102, KNOXVILLE, TN 37919-4037
- **Practice address phone:** (865) 584-5611
- **Practice address fax:** (865) 588-8170
- **Mailing address:** 6230 HIGHLAND PLACE WAY STE 102, KNOXVILLE, TN 37919-4037
- **Mailing address phone:** (865) 584-5611
- **Mailing address fax:** (865) 588-8170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 01/28/2021
