Walter H. Burgess DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WALTER H. BURGESS DMD PC

Practice address

104 E Gunter Ave
Opp, AL 36467-1604

Phone

(334) 493-3501

Fax

(334) 493-3502

NPI assigned

Feb 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Reed

Title

Office Manager

Phone

(334) 493-3501

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles M Burgess Jr., DMD

  • General Practice Dentistry
  • Opp, AL
  • NPI 1649355280
  NPD (past)
• Walter H Burgess, DMD

  • Dentist
  • Opp, AL
  • NPI 1114193687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1154560258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E GUNTER AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671604",
            "telephone_number": "334-493-3501",
            "fax_number": "334-493-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E GUNTER AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671604",
            "telephone_number": "334-493-3501",
            "fax_number": "334-493-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER H. BURGESS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-493-3501"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lashon Tillman, MCD,CCC-SLP
• Gregory L Vaughan
• Taylor Vaughn
• Vincent E. Martin, M.D., P.C.
• Walgreen Co
• Walter H. Burgess DMD PC
• Jeanette Marie Waters
• Abbey Jo Weatherford
• Meredith Amanda Wells Lanier, D.M.D.
• Robert McLain Williams, MD

• All providers in Opp, AL
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.