Individual
DR. DONALD A BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
135 SANDWICH ST, PLYMOUTH, MA 02360-2400
(508) 746-4707
(508) 746-4708
Mailing address
135 SANDWICH ST, PLYMOUTH, MA 02360-2400
(508) 746-4707
(508) 746-4708
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15592
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XO4622
BCBS
MA
Enumeration date
03/23/2007
Last updated
07/08/2007
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