Organization
TERRY A. BURGESS
Active
Parent organization
MADISON DENTAL CARE
Other names
Madison Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON DENTAL CARE
Authorized official
TERRY A BURGESS DDS (DENTIST/OWNER)
(256) 772-2626
Entity
Organization
Contact information
Practice address
810 PALMER PLAZA, # 103, MADISON, AL 35758
(256) 772-2626
(256) 772-2602
Mailing address
810 PALMER PLAZA, # 103, MADISON, AL 35758
(256) 772-2626
(256) 772-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4219
AL
Other
Enumeration date
09/03/2015
Last updated
06/03/2016
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