Organization
W.L. BURGESS, JR.D.D.S.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W L BURGESS JR. DDS (OWNER)
(901) 756-8111
Entity
Organization
Contact information
Practice address
8159 WALNUT GROVE RD, CORDOVA, TN 38018-7270
(901) 756-8111
(901) 756-8171
Mailing address
8159 WALNUT GROVE RD, CORDOVA, TN 38018-7270
(901) 756-8111
(901) 756-8171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2698
TN
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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