Burgess, Myeasha Kharima
Burgess, Myeasha Kharima is an individual health care provider with primary practice located at 949 Broadway Dr , Hattiesburg MS 39401-7534. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Burgess, Myeasha Kharima can be contacted via phone (601) 620-0075.Contact Information
Primary practice address
949 Broadway Dr
Hattiesburg MS 39401-7534
Phone: (601) 620-0075
Fax: (601) 620-0105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 14641 | Maryland |
Dental Providers / Dentist | 122300000X | DEN1000754 | District of Columbia |
Dental Providers / Pediatric Dentistry | 1223P0221X | 30.023795 | Ohio |
Dental Providers / Pediatric Dentistry | 1223P0221X | 3768-14 | Mississippi |
Profile Details
NPI number | 1356599237 |
---|---|
LBN Legal business name | Burgess, Myeasha Kharima |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2008 |
Last updated | Sep 6th, 2022 - about 3 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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