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Contact Information

CHAD BURGESS
3601 VISTA WAY
SUITE 202
OCEANSIDE, CA92056-4559
 Phone: 760-216-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CHAD BURGESS · (Male)

NPI Number 1821173022
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2006
Last updated 04/25/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 48788
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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