Burgess, Philip Alan
Burgess, Philip Alan is an individual health care provider with primary practice located at 5731 La Jolla Blvd , La Jolla CA 92037-7302. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Burgess, Philip Alan can be contacted via phone (858) 459-0229.Contact Information
Primary practice address
5731 La Jolla Blvd
La Jolla CA 92037-7302
Phone: (858) 459-0229
Fax: (858) 459-8072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22582 | California |
Profile Details
| NPI number | 1114130762 |
|---|---|
| LBN Legal business name | Burgess, Philip Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 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 | 1114130762 | NPPES |
| Other | 573392 | UNITED CONCORDIA PROVIDER |
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