Terry A. Burgess

NPI #1649648858 in Madison, Alabama

Provider Information

NPI Number: 1649648858
Entity Type: Organization
Organization Name: Terry A. Burgess
Subpart: Yes (part of a larger organization)
Parent Organization: MADISON DENTAL CARE
Primary Specialty: Dentist
Enumeration Date: Sep 3, 2015
Last Updated: Jun 3, 2016

Practice Location

Address: 810 PALMER PLAZA
Address 2: # 103
City: Madison
State: Alabama
ZIP Code: 35758
Phone: (256) 772-2626

Authorized Official

Name: TERRY A BURGESS, DDS
Title: DENTIST/OWNER
Phone: (256) 772-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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