Organization Active NPI

Eric S. Burgess, DMD, PA

  • General Practice Dentistry
  • Ponte Vedra Beach, FL
National Provider Identifier
1619797461
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERIC S. BURGESS, DMD, PA
Practice address
180 Library Blvd Unit 101
Ponte Vedra Beach, FL 32082-2327
Phone
(904) 273-3001
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Bella Zaritsky
Title
Director
Phone
(480) 482-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

180 Library Blvd Unit 101
Ponte Vedra Beach, FL 32082-2327

Mailing address

180 Library Blvd Unit 101
Ponte Vedra Beach, FL 32082-2327
Phone (904) 273-3001

Other names 1

  • The Burgess Center for Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

180 Library Blvd
Unit 101
Ponte Vedra Beach, FL 32082
Phone (904) 273-3001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1619797461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LIBRARY BLVD UNIT 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822327",
            "telephone_number": "904-273-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LIBRARY BLVD UNIT 101",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822327",
            "telephone_number": "904-273-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S. BURGESS, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-482-1070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Burgess Center for Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.