Burgess, Tara

Burgess, Tara is an individual health care provider with primary practice located at 205 Parking Way St , Lake Jackson TX 77566-5226. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Burgess, Tara can be contacted via phone (979) 297-1128.

Contact Information

Primary practice address
205 Parking Way St Lake Jackson TX 77566-5226
Phone: (979) 297-1128
Fax: (979) 297-0956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31201 Texas

Profile Details

NPI number 1104200138
LBN Legal business name Burgess, Tara
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Jul 20th, 2015 - about 9 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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