Individual
ANISSA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
Mailing address
2410 FRANKLIN PIKE, NASHVILLE, TN 37204-2227
(615) 932-7629
(615) 385-1842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7829
TN
Other
Enumeration date
09/05/2007
Last updated
03/08/2011
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