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 NPI 1346444858
Title
President
Phone
(970) 625-1850

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

Practitioners 1

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

National Provider Directory

Locations

124 E 4th St
Rifle, CO 81650
Phone (970) 625-1850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Rifle, CO · Dentist in Colorado

Sources for this page

Verify at the official NPI Registry.