W.L. Burgess, Jr.D.D.S.P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2698 Issued in TN

Legal business name

W.L. BURGESS, JR.D.D.S.P.C.

Practice address

8159 Walnut Grove Rd
Cordova, TN 38018-7270

Phone

(901) 756-8111

Fax

(901) 756-8171

NPI assigned

Feb 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. W L Burgess Jr., DDS

Title

Owner

Phone

(901) 756-8111

Specialties & licenses 1

Addresses

Locations

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.

• Allton Louis Burgess, DDS

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1871635359
  NPD (past)
• W L Burgess,Jr, DDS

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1376685859
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871635185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8159 WALNUT GROVE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187270",
            "telephone_number": "901-756-8111",
            "fax_number": "901-756-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 WALNUT GROVE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187270",
            "telephone_number": "901-756-8111",
            "fax_number": "901-756-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.L. BURGESS, JR.D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-756-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.