Burgess, Jerry Watson

Burgess, Jerry Watson is an sole proprietor health care provider with primary practice located at 1105 W Wall St , Grapevine TX 76051-5152. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burgess, Jerry Watson can be contacted via phone (817) 481-4717.

Contact Information

Primary practice address
1105 W Wall St Grapevine TX 76051-5152
Phone: (817) 481-4717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9032 Texas

Profile Details

NPI number 1114045747
LBN Legal business name Burgess, Jerry Watson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 17 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

Popular Providers