Organization
BURGESS DENTAL
Active
Other names
John P Burgess dds
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK BURGESS DDS (OWNER)
(304) 346-4820
Entity
Organization
Contact information
Practice address
405 CAPITOL STREET, THE PARLOR SUITE, CHARLESTON, WV 25301
(304) 550-8181
(304) 346-4842
Mailing address
405 CAPITOL STREET, THE PARLOR SUITE, CHARLESTON, WV 25301
(304) 550-8181
(304) 346-4842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1038-9730
WV
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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