Organization
ALAN BURGE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JEFFREY BURGE DDS (PRESIDENT)
(309) 347-8590
Entity
Organization
Contact information
Practice address
3218 COURT ST, PEKIN, IL 61554-6209
(309) 347-8590
(309) 347-8612
Mailing address
3218 COURT ST, PEKIN, IL 61554-6209
(309) 347-8590
(309) 347-8612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
195532
IL
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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