DR. CHARLES M BURGESS JR. DMD
NPI 1649355280
Dentist - General Practice in Opp, AL

Active since October 25, 2006
104 E GUNTER AVE, OPP, AL 36467(334) 493-3501(334) 493-3502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles M Burgess Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES M BURGESS JR. DMD (NPI 1649355280) is an individual general practice provider in Opp, Alabama, licensed in Alabama (3319) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1649355280
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES M BURGESS JR.Credential: DMD
Location Address104 E GUNTER AVEOpp, AL 36467-1604
Mailing Address104 E Gunter AveOpp, AL 36467-1604 · (334) 493-3501 · Fax (334) 493-3502
Fax(334) 493-3502
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649355280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · 3319
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
104 E GUNTER AVE, Opp, AL 36467

Other Identifiers 1

Medicaid000090883AL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
104 E GUNTER AVE
OPP, AL 36467
Clinic/Center (Dental)
104 E GUNTER AVE
OPP, AL 36467
Clinic/Center (Dental)
104 E GUNTER AVE
OPP, AL 36467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Burgess's NPI number?

The NPI number for Charles Burgess is 1649355280. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Charles Burgess located?

Charles Burgess practices at 104 E Gunter Ave, Opp, AL 36467. The listed phone number is (334) 493-3501.

What is Charles Burgess's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charles Burgess was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.