Charles J Burliss DMD MSCD PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

2529 Issued in NH

Legal business name

CHARLES J BURLISS DMD MSCD PC

Doing business as

CHARLES J BURLISS DMD MScD PC

Practice address

12 Stiles Rd Ste 203
Salem, NH 03079-2881

Phone

(603) 898-1961

NPI assigned

May 11, 2007

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles J Burliss, DMD MSCDNPI 1275628729

Title

President

Phone

(603) 898-1961

Specialties & licenses 1

Addresses

Other names 1

• CHARLES J BURLISS DMD MScD PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles J Burliss, DMD,MSCD

  • Periodontics
  • Salem, NH
  • NPI 1275628729
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1265647598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792881",
            "telephone_number": "603-898-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792881",
            "telephone_number": "603-898-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J BURLISS DMD MSCD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BURLISS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-898-1961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MSCD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES J BURLISS DMD MScD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Vein Restoration NH PLLC
• Madeleine Ann Cerretani, RPH
• Caitlin Chambers, MS, CCC-SLP
• Emily Nicole Chan, DMD
• Lisa Chapman, P.T.
• Sarah Chase, OT/L, CHT
• Kai Wen Cheng
• Children's Smile Connection
• Chiropractic First PLLC
• Terisa Chocklett, PT, DPT

• Oral and Maxillofacial Surgery Clinic/Center in Salem, NH
• Providers in Salem, NH by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.