Healthcare Provider Details

I. General information

NPI: 1740320712
Provider Name (Legal Business Name): MARGARET BURGIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2128 HIGH HOUSE RD STE 200
CARY NC
27519-8450
US

IV. Provider business mailing address

5001 OLD CASK WAY
APEX NC
27502-8958
US

V. Phone/Fax

Practice location:
  • Phone: 919-336-5245
  • Fax:
Mailing address:
  • Phone: 919-335-3045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7206
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: