| John P Burgess Dds | |
|
405 Capitol Street The Parlor Suite Charleston WV 25301 | |
| (304) 550-8181 | |
| (304) 346-4842 |
| Full Name | John P Burgess Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 Capitol Street, Charleston, West Virginia |
| Authorized Official Name and Position | John Patrick Burgess (OWNER) |
| Authorized Official Contact | 3043464820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P Burgess Dds 405 Capitol Street The Parlor Suite Charleston WV 25301 Ph: (304) 550-8181 | John P Burgess Dds 405 Capitol Street The Parlor Suite Charleston WV 25301 Ph: (304) 550-8181 |
| NPI Number | 1285123471 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285123471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1038-9730 (West Virginia) | Primary |
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