Chad D Burgess DDS PC
Organization Active NPI Dentist · Rifle, CO
NPI 1770780587 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1770780587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 9417 (CO)
- Legal business name
- CHAD D BURGESS DDS PC
- Practice address
- 900 E 16TH St
Rifle, CO 81650-4711 - Phone
- (970) 625-1850
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Chad D Burgess, DDS
- Title
- President
- Phone
- (970) 625-1850
Practitioners 1
-
Chad D Burgess, D.D.S.
National Provider Directory
Locations
124 E 4th St
Rifle, CO 81650
Phone (970) 625-1850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 9417 | CO | Yes |
Addresses
Primary practice location
900 E 16TH St
Rifle, CO 81650-4711
Mailing address
900 E 16TH St
Rifle, CO 81650-4711
Phone (970) 625-1850
Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.