John Barry Burgess in Tuscaloosa - Pediatric Dentistry

John Barry Burgess - NPI 1922138072

John Barry Burgess is a Pediatric Dentistry in Tuscaloosa, Alabama. John Barry Burgess practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Barry Burgess is 1922138072. The last update date is 2007-07-09.

John Barry Burgess's current location address is 221 Rice Mine Rd Ne, Tuscaloosa, Alabama. You can contact this provider via phone number 2057583341 and fax number 2057580846. The mailing address for John Barry Burgess is 221 Rice Mine Rd Ne, Tuscaloosa, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name John Barry Burgess
Address 221 Rice Mine Rd Ne, Tuscaloosa, Alabama
Phone Number 2057583341
Fax Number 2057580846
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1922138072
Provider Enumeration Date 2007-03-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 221 Rice Mine Rd Ne
City Tuscaloosa
State Alabama (AL)
Post Code 354062401
Phone Number 2057583341
Fax Number 2057580846

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3482
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51035759 AL BLUECROSS BLUESHIELD #

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FAQs about John Barry Burgess

What is the unique identification code assigned to John Barry Burgess by the Centers for Medicare & Medicaid Services?

The John Barry Burgess has been issued the NPI (National Provider Identifier) 1922138072. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John Barry Burgess's facilities are geographically located?

The facilities of John Barry Burgess are physically situated at the following location: 221 Rice Mine Rd Ne, Tuscaloosa, AL, 354062401.

What is the John Barry Burgess's specialty and taxonomy code?

The John Barry Burgess's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the John Barry Burgess receive its 1922138072 assignment from the Centers for Medicare & Medicaid Services?

The John Barry Burgess was assigned its 1922138072 by the Centers for Medicare & Medicaid Services on 2007-03-07.

As of what date were the John Barry Burgess's details last updated?

The information pertaining to the John Barry Burgess, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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