IndividualActive
Charles Burgess, DMD
NPI 1649355280 · General Practice Dentistry · Opp, AL
Provider details
- NPI number
- 1649355280
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3319 (AL)
Specialties & taxonomies
Dental Providers
Practice location
104 E Gunter Ave
Opp, AL 36467-1604
Phone: (334) 493-3501
Fax: (334) 493-3502
Approximate (ZIP-level) locationGet directions
Mailing address
104 E Gunter Ave
Opp, AL 36467-1604
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.