Burgess, Terry Allen
Burgess, Terry Allen is an sole proprietor health care provider with primary practice located at 810 Palmer Rd Ste 103 , Madison AL 35758-3115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burgess, Terry Allen can be contacted via phone (256) 772-2626.Contact Information
Primary practice address
810 Palmer Rd Ste 103
Madison AL 35758-3115
Phone: (256) 772-2626
Fax: (256) 772-2602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4219 | Alabama |
Profile Details
| NPI number | 1972641090 |
|---|---|
| LBN Legal business name | Burgess, Terry Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972641090 | NPPES |
| Alabama | MEDICAID | 009913345 |
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