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:
Health care specialties
| Specialty | Code | License # | 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 10 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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