Burgess, Douglas Wilford
Burgess, Douglas Wilford is an individual health care provider with primary practice located at 730 Madison Avenue , Mankato MN 56001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Burgess, Douglas Wilford can be contacted via phone (507) 625-7550.Contact Information
Primary practice address
730 Madison Avenue
Mankato MN 56001
Phone: (507) 625-7550
Fax: (507) 388-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7404 | Minnesota |
Profile Details
| NPI number | 1003907122 |
|---|---|
| LBN Legal business name | Burgess, Douglas Wilford |
| Credentials | DDS PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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