MEDICARE: DOUGLAS W BURGESS DDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7404	MN

General Provider Information

NPI Number	:	1184726531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS W BURGESS DDS PA

Provider Business Mailing Address
First Line	:	730 E MADISON AVE
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-6100
Country	:	US
Telephone Number	:	507-625-7550
Fax Number	:	507-388-3353

Provider Business Practice Location Address
First Line	:	730 E MADISON AVE
Second Line	:
City	:	MANKATO
State	:	MN
Zip	:	56001-6100
Country	:	US
Telephone Number	:	507-625-7550
Fax Number	:	507-388-3353

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DOUGLAS WILFORD BURGESS
Credential	:	DDS
Telephone Number	:	507-625-7550

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1275685190 — DR. TRAVIS ANDREW PRUNTY DDS
Practice Location Address:

730 MADISON AVE
MANKATO, MN
56001-6100

Practice Phone: 507-388-3023
Practice Fax: 507-388-3353

1235395476 — TRAVIS PRUNTY DDS PLLC
Practice Location Address:

730 E MADISON AVE
MANKATO, MN
56001-6100

Practice Phone: 507-388-3023
Practice Fax: 507-388-3353

1215184346 — BRENT OLSON, DDS, PLLC
Practice Location Address:

730 E MADISON AVE
MANKATO, MN
56001-6100

Practice Phone: 507-625-7550
Practice Fax: 507-388-3353

1013845221 — RYLEE SCHUTTE
Practice Location Address:

1701 ADAMS ST
MANKATO, MN
56001-4895

Practice Phone: 507-565-0150
Practice Fax:

1114855236 — EMILY ROSE FADNESS
Practice Location Address:

1701 ADAMS ST
MANKATO, MN
56001-4895

Practice Phone: 507-565-0150
Practice Fax:

1144158155 — ALYSSA OLSON WEMPEN
Practice Location Address:

150 SOUTH RD
MANKATO, MN
56001-7046

Practice Phone: 507-389-2147
Practice Fax:

Directions to “DOUGLAS W BURGESS DDS PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.