institution
Jeremy W Burgin, Dds
Dental Clinic/Center in Clovis, New Mexico
NPI 1790494771

Jeremy W Burgin, Dds is a Dental Clinic/Center based in Clovis, NM and is specialized in Dental. Jeremy W Burgin, Dds practices in Clovis, NM. The NPI Number for Jeremy W Burgin, Dds is 1790494771 and holds a License No. (New Mexico).

The current practice location address for Jeremy W Burgin, Dds is 821 Lexington Rd Ste A, Clovis, NM and can be reached out via phone at 575-762-2355 and via fax at 575-762-9573. You can also correspond with Jeremy W Burgin, Dds through the mailing address at 821A LEXINGTON RD, CLOVIS, NM - 88101-4466 (mailing address contact number: 575-762-2355).

Location: 821 Lexington Rd Ste A, Clovis, NM, 88101-4466
institution
Provider Profile Details
NPI Number
1790494771
Provider Name
Jeremy W Burgin, Dds
Credential
Provider Entity Type
Organization
Address
821 Lexington Rd Ste A, Clovis, NM, 88101-4466
Phone Number
575-762-2355
Fax Number
575-762-9573
Provider Enumeration Date
11/18/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124581426 01 NM PRIVATE PRACTICE
institution
Provider Business Practice Location Address Details
Address
821 Lexington Rd Ste A
City
State
Zip
88101-4466
Phone Number
575-762-2355
Fax Number
575-762-9573
person
Provider Business Mailing Address Details
Address
821 Lexington Rd Ste A
City
State
Zip
88101-4466
Phone Number
575-762-2355
Fax Number
575-762-9573
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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