Philip Alan Burgess in La Jolla - Dentist
Philip Alan Burgess - NPI 1114130762
Philip Alan Burgess is a Dentist in La Jolla, California. Philip Alan Burgess practices all healthcare services and medical treatments related to Dentist. The NPI Number for Philip Alan Burgess is 1114130762. The last update date is 2007-07-08.
Philip Alan Burgess's current location address is 5731 La Jolla Blvd, La Jolla, California. You can contact this provider via phone number 8584590229 and fax number 8584598072. The mailing address for Philip Alan Burgess is 5731 La Jolla Blvd, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Alan Burgess |
|---|---|
| Address | 5731 La Jolla Blvd, La Jolla, California |
| Phone Number | 8584590229 |
| Fax Number | 8584598072 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114130762 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5731 La Jolla Blvd |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 920377302 |
| Phone Number | 8584590229 |
| Fax Number | 8584598072 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22582 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 573392 | UNITED CONCORDIA PROVIDER |
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What is the unique 10-digit identifier code issued to Philip Alan Burgess by the Centers for Medicare & Medicaid Services?
The Philip Alan Burgess has been assigned the NPI (National Provider Identifier) 1114130762 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Philip Alan Burgess located?
The Philip Alan Burgess is located at 5731 La Jolla Blvd, La Jolla, CA 920377302.
What is the area of specialization for Philip Alan Burgess, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Philip Alan Burgess is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114130762 to Philip Alan Burgess?
The Centers for Medicare & Medicaid Services assigned the 1114130762 to Philip Alan Burgess on 2007-05-08.
When was the information regarding Philip Alan Burgess, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Philip Alan Burgess, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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