Individual
DR. JOHN BARRY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
221 RICE MINE RD NE, SUITE A, TUSCALOOSA, AL 35406-2401
(205) 758-3341
(205) 758-0846
Mailing address
221 RICE MINE RD NE, SUITE A, TUSCALOOSA, AL 35406-2401
(205) 758-3341
(205) 758-0846
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3482
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51035759
BLUECROSS BLUESHIELD #
AL
Enumeration date
03/07/2007
Last updated
07/09/2007
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