DOUGLAS WILFORD BURGESS


Address: 730 Madison Avenue, Mankato, MN 56001
Phone: 5076257550

DOUGLAS WILFORD BURGESS (NPI# 1003907122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003907122
Entity Type Individual
Full Name DOUGLAS WILFORD BURGESS
Credential DDS PA
Practice Address 730 Madison Avenue
Mankato
MN 56001
Practice Telephone 5076257550
Practice Fax Number 5073883353
Mailing Telephone 5076257550
Mailing Fax Number 5073883353
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 7404 MN Dental Providers

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1235336652 Douglas Michael Burgess Psychiatry & Neurology 2211 Charlotte St, Kansas City, MO 64108-2733 2007-06-29
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Office Location

Street Address 730 MADISON AVENUE
City MANKATO
State MN
Zip Code 56001

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NPI Name Taxonomy Address Enumeration
1154935435 Kelly Nicole Ricke Physical Medicine & Rehabilitation 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 2020-09-03
1649816786 Ashley Lynn Walters Technician, Other 501 Madison Ave., Mankato, MN 56001 2019-11-25
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1093377871 Lindsey Keithahn Counselor 2100 Bassett Drive, Mankato, MN 56001 2019-07-02
1255803813 Amy Marie Williams Acupuncturist 709 S. Front Street, Suite 5, Mankato, MN 56001 2018-12-20
1518437573 Ashley Blanchard Acupuncturist Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 2018-12-03
1831687235 Christian Goetz Specialist/Technologist 401-477 South Rd, Mankato, MN 56001 2018-05-01
1366949141 Minnesota State College and Universities Specialist/Technologist 135 Myers Field House, Mankato, MN 56001 2018-04-09
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
1972014231 Rylee Wagner Speech-Language Pathologist Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 2017-10-13
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285032243 Main Street Dental Clinic of Mankato, Pllp Dentist 287 St Andrews Drive, 100, Mankato, MN 56001 2014-12-08
1912212606 Modern Dental Professionals Minnesota PC Dentist 530 West Pleasant, Mankato, MN 56001 2010-08-18
1073740593 Christopher K Meehan Dentist 151 Saint Andrews Ct Ste 1120, Mankato, MN 56001-8819 2009-06-11
1962613638 William E Dobbs Dentist 309 Holly Ln Ste 101, Mankato, MN 56001-6276 2007-05-24
1912059072 Garrett Starr Dentist 120 N Augusta Ct, Suite 108, Mankato, MN 56001-8707 2007-01-17
1831288463 James Daniel Connors Dentist 201 North Broad St, Suite 204, Mankato, MN 56001 2006-10-12
1275636615 Tom L Pooley Dentist 124 E Walnut St, Ste 300, Mankato, MN 56001 2006-09-07
1184726531 Douglas W Burgess Dds Pa Dentist 730 E Madison Ave, Mankato, MN 56001-6100 2006-09-05
1508878604 James Paul Knudson Dentist 730 Madison Ave, Mankato, MN 56001 2006-08-13
1912920059 Madison Avenue Family Dental Center, Ltd Dentist 608 E Madison Ave, Mankato, MN 56001-6112 2006-07-26
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City MANKATO
Zip Code 56001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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