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Individual

DR. BRIAN WAYNE BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3800 OLD CHENEY RD, SUITE 101, LINCOLN, NE 68516-5901
(402) 423-3260
Mailing address
2831 TIERRA DR, #309, LINCOLN, NE 68516-5003
(402) 423-3688

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5506
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47071760200
NE
Enumeration date
11/15/2006
Last updated
07/08/2007
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