Gregory N Burroughs, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11340 Issued in TX

Practice address

3622 Williams Dr
Building 1
Georgetown, TX 78628-2420

Phone

(512) 869-0529

NPI assigned

Feb 7, 2006

Last updated

Mar 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1508875147
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1386617835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-454-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 WILLIAMS DR",
            "address_2": "BUILDING 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282420",
            "telephone_number": "512-869-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "GREGORY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buena Vista Counseling
• Matthew Bugarin
• Alyssa Lyn Bullard, MSN APRN FNP-C
• Jenna Marie Buratti, OTD
• Rebecca J Burgman, LCSW
• Janie P. Bush, MS CCC-SLP
• Pedro Bustamante, LMSW
• Cheryl Butler
• Kathleen Victoria Butler, MD
• Mary Buzzell, M.S., CCC-SLP

• Oral and Maxillofacial Surgery (Dentist) in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.