Burgess, Dean

Burgess, Dean is an individual health care provider with primary practice located at 2201 S. Brentwood Blvd , St. Louis MO 63144-1870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Burgess, Dean can be contacted via phone (314) 367-1181.

Contact Information

Primary practice address
2201 S. Brentwood Blvd St. Louis MO 63144-1870
Phone: (314) 367-1181
Fax: (314) 962-3462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R5138 Missouri
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2016004988 Missouri

Profile Details

NPI number 1194721134
LBN Legal business name Burgess, Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 10th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194721134 NPPES
Illinois MEDICAID 0050267012
Illinois MEDICAID 200140606

Popular Providers