Burgiss, Timothy R
Burgiss, Timothy R is an individual health care provider with primary practice located at 951 West Memorial Highway Tri County Medical Park, Union Grove NC 28689. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burgiss, Timothy R can be contacted via phone (704) 539-5544.Contact Information
Primary practice address
951 West Memorial Highway Tri County Medical Park
Union Grove NC 28689
Phone: (704) 539-5544
Fax: (704) 539-5209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5381 | North Carolina |
Profile Details
| NPI number | 1043437221 |
|---|---|
| LBN Legal business name | Burgiss, Timothy R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043437221 | NPPES |
| North Carolina | MEDICAID | 8991185 |
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