Douglas W Burgess Dds Pa in Mankato - Dentist
Douglas W Burgess Dds Pa - NPI 1184726531
Douglas W Burgess Dds Pa is a Dentist in Mankato, Minnesota. Douglas W Burgess Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas W Burgess Dds Pa is 1184726531. The last update date is 2020-08-22.
Douglas W Burgess Dds Pa's current location address is 730 E Madison Ave, Mankato, Minnesota. You can contact this provider via phone number 5076257550 and fax number 5073883353. The mailing address for Douglas W Burgess Dds Pa is 730 E Madison Ave, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas W Burgess Dds Pa |
|---|---|
| Address | 730 E Madison Ave, Mankato, Minnesota |
| Phone Number | 5076257550 |
| Fax Number | 5073883353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Burgess Wilford Douglas |
| Credentials | DDS |
| Telephone Number | 5076257550 |
NPI Number Detail
| NPI Number | 1184726531 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 730 E Madison Ave |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560016100 |
| Phone Number | 5076257550 |
| Fax Number | 5073883353 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7404 |
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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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What is the unique 10-digit identification code assigned to Douglas W Burgess Dds Pa by the Centers for Medicare & Medicaid Services?
The Douglas W Burgess Dds Pa has been issued the NPI (National Provider Identifier) 1184726531, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Douglas W Burgess Dds Pa's facilities are situated?
The facilities of Douglas W Burgess Dds Pa are physically located at the following address: 730 E Madison Ave, Mankato, MN, 560016100.
What is the Douglas W Burgess Dds Pa's area of specialization and corresponding taxonomy classification?
The Douglas W Burgess Dds Pa's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1184726531 to Douglas W Burgess Dds Pa?
The Centers for Medicare & Medicaid Services assigned the 1184726531 to Douglas W Burgess Dds Pa on 2006-09-05.
When was the Douglas W Burgess Dds Pa's information last updated?
The Douglas W Burgess Dds Pa's information was last updated on 2020-08-22.
NPI Number: 1447253448
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