National Provider Identifier Database

CHARLES J BURLISS DMD MSCD PC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

CHARLES J BURLISS DMD MSCD PC
12 STILES RD STE 203
SALEM, NH03079-2881
Phone: 603-898-1961
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CHARLES J BURLISS DMD MSCD PC

NPI Number 1265647598
Legal business name
LBN
CHARLES J BURLISS DMD MSCD PC
Authorized official CHARLES BURLISS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/11/2007
Last updated 01/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NH License #: 2529

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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