Burgess Orthodontics | |
1276 Main St Imperial MO 63052-3861 | |
(636) 223-7123 | |
Not Available |
Full Name | Burgess Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1276 Main St, Imperial, Missouri |
Authorized Official Name and Position | Brandy Burgess (ORTHODONTIST) |
Authorized Official Contact | 6362237123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burgess Orthodontics 1276 Main St Imperial MO 63052-3861 Ph: (636) 223-7123 | Burgess Orthodontics 1276 Main St Imperial MO 63052-3861 Ph: (636) 223-7123 |
NPI Number | 1710343504 |
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Provider Enumeration Date | 01/08/2016 |
Last Update Date | 01/08/2016 |
Identifier | Type | State | Issuer |
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1710343504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2006016233 (Missouri) | Primary |
Gerald C Schmitz Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Prehistoric Hill Dr, Imperial, MO 63052 Phone: 636-464-2002 Fax: 636-464-2003 | |
Precision Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Main St, Imperial, MO 63052 Phone: 636-461-2255 Fax: 636-461-0401 |