NPI 1336286152 · live from the CMS NPI Registry
Scot E Burgess, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Redmond, OR. National Provider Identifier 1336286152, active.
NPI record
| NPI | 1336286152 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 710 Sw Highland Ave, Redmond, OR 97756 |
| Practice phone | 541-923-7432 |
| Mailing address | 710 Sw Highland Ave, Po Box 697, Redmond, OR 97756 |
| Enumerated | January 31, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D6524 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.