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Contact Information

DOUGLAS W BURGESS, DDS PA
730 MADISON AVENUE
MANKATO, MN56001
 Phone: 507-625-7550
 Fax: 507-388-3353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DOUGLAS W BURGESS · (Male)

NPI Number 1003907122
Status Active
Credentials DDS PA
Entity Individual
Enumeration date 09/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 7404
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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