Dr Timothy R Burgiss, DDS is a
Dentist - General Practice based in Union Grove, North Carolina. Dr Timothy R Burgiss is licensed to practice in North Carolina (license number 5381) and his current practice location is
951 West Memorial Highway, Tri County Medical Park, Union Grove, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 539-5544.
NPI number for Dr Timothy R Burgiss is 1043437221 and his current mailing address is Po Box 70, 951 West Memorial Highway, Union Grove, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043437221.
Healthcare Provider's Profile
| Full Name | Dr Timothy R Burgiss |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 951 West Memorial Highway, Union Grove, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043437221
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Timothy R Burgiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043437221 | NPI | - | NPPES |
| 8991185 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5381 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy R Burgiss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy R Burgiss, DDS
Po Box 70, 951 West Memorial Highway,
Union Grove, NC 28689
Ph: (704) 539-5544 | Dr Timothy R Burgiss, DDS
951 West Memorial Highway, Tri County Medical Park,
Union Grove, NC 28689
Ph: (704) 539-5544 |
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