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NPI Code Detail

MEDICARE: BURGIN E CLAIBORNE DDS

MEDICARE:   BURGIN E CLAIBORNE  DDS
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
11223G0001XGeneral Practice DentistryDS1796TN

General Provider Information

NPI Number : 1730231721
Entity Type Code : Individual
Provider Name (Legal Business Name) : BURGIN E CLAIBORNE DDS
Provider Business Mailing Address
First Line : 4561 MILLBRANCH
Second Line : SUITE 1
City : MEMPHIS
State : TN
Zip : 38116
Country : US
Telephone Number : 901-396-5700
Fax Number : 901-396-3100
Provider Business Practice Location Address
First Line : 4561 MILLBRANCH
Second Line : SUITE 1
City : MEMPHIS
State : TN
Zip : 38116
Country : US
Telephone Number : 901-396-5700
Fax Number : 901-396-3100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 07/08/2007

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Directions to “ BURGIN E CLAIBORNE DDS” Practice Location

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