Organization Active NPI

Burgess Family Dentistry LLC

  • Dental Clinic/Center
  • Charleston, SC
National Provider Identifier
1417645227
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BURGESS FAMILY DENTISTRY LLC
Practice address
18 Leinbach Dr Ste E
Charleston, SC 29407-7916
Phone
(843) 556-4600
NPI assigned
Apr 28, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Elizabeth Saunders Burgess, DMDNPI 1316371255
Title
Dentist
Phone
(843) 532-1548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

18 Leinbach Dr Ste E
Charleston, SC 29407-7916

Mailing address

3 Lavington Rd
Charleston, SC 29407-9673
Phone (843) 901-3487

National Provider Directory

National Provider Directory

Locations

18 Leinbach Dr
Ste E
Charleston, SC 29407
Phone (843) 377-0847

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1417645227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAVINGTON RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294079673",
            "telephone_number": "843-901-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LEINBACH DR STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077916",
            "telephone_number": "843-556-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SAUNDERS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-532-1548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.