CHARLES J BURLISS DMD MSCD PC (NPI# 1265647598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265647598 |
| Entity Type | Organization |
| Organization Name | CHARLES J BURLISS DMD MSCD PC |
| Other Organization Name | CHARLES J BURLISS DMD MSCD PC |
| Practice Address |
12 Stiles Rd Ste 203 Salem NH 03079-2881 |
| Practice Telephone | 6038981961 |
| Mailing Telephone | 6038981961 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. CHARLES J BURLISS (PRESIDENT) |
| Authorized Official Telephone | 6038981961 |
| Authorized Official Credential | DMD MSCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
2529 | NH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHARLES J BURLISS DMD MScD PC | Doing Business As Name - Organization |
| Street Address |
12 STILES RD STE 203 |
| City | SALEM |
| State | NH |
| Zip Code | 03079-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811149297 | Dennis D. Johnson Dmd PC | Clinic/Center | 410 Lancaster Dr Ne Ste A, Salem, OR 97301-4794 | 2008-10-16 |
| 1386901734 | Mid-valley Oral, Maxillofacial & Implant Surgery | Clinic/Center | 1565 Liberty St Se, Salem, OR 97302-4345 | 2012-04-23 |
| 1386818136 | Drs. Gold and Abbott, Ltd. | Clinic/Center | 1940 Braeburn Dr, Salem, VA 24153-7383 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154525624 | Nhoms, Pllc | Clinic/Center | 33 Trafalgar Sq, Suite 201, Nashua, NH 03063-4900 | 2007-06-11 |
| 1104430131 | Plaistow Dental Implant and Oral Surgery Center | Clinic/Center | 166 Plaistow Rd Unit 3, Plaistow, NH 03865-2843 | 2020-09-08 |
| 1467062935 | Manchester Oral Surgery, Pllc | Clinic/Center | 27 Sagamore St, Manchester, NH 03104-3547 | 2020-08-08 |
| 1043636616 | Hanover Oral Surgery Pllc | Clinic/Center | 367 Route 120, Unit E-1, Lebanon, NH 03766-1430 | 2014-03-06 |
| 1407133234 | Shauna L.gauthier Dmd Pllc | Clinic/Center | 96 High St, Laconia, NH 03246-3537 | 2011-11-08 |
| 1043452923 | Dave C Pak Dmd Md Pa | Clinic/Center | 123 Washington St, Rochester, NH 03839-5505 | 2009-03-24 |
| 1962620229 | Daniel H De Tolla, D.d.s., M.d., Pa | Clinic/Center | 200 Griffin Road, Suite 8, Portsmouth, NH 03801 | 2007-04-23 |
| 1437166584 | White Mountain Oral & Maxillofacial Surgery, PC | Clinic/Center | 3277 White Mountain Hwy, North Conway, NH 03860-5113 | 2006-08-02 |
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| 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.