Burgess, John Barry
Burgess, John Barry is an individual health care provider with primary practice located at 221 Rice Mine Rd Ne Suite A, Tuscaloosa AL 35406-2401. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Burgess, John Barry can be contacted via phone (205) 758-3341.Contact Information
Primary practice address
221 Rice Mine Rd Ne Suite A
Tuscaloosa AL 35406-2401
Phone: (205) 758-3341
Fax: (205) 758-0846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3482 | Alabama |
Profile Details
| NPI number | 1922138072 |
|---|---|
| LBN Legal business name | Burgess, John Barry |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1922138072 | NPPES |
| Alabama | Other | 51035759 | BLUECROSS BLUESHIELD # |
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