Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J BURLISS, DMD,MSCD
ActiveDR. CHARLES J BURLISS, DMD,MSCD is a Periodontology healthcare provider located in SALEM, New Hampshire. NPI 1275628729 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SALEM, NH
Registration Details
- NPI Number
- 1275628729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.885999138348 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2529 (NH)
Practice Information
- Address
-
12 STILES RDSUITE 203SALEM, NH, 03079Browse NH providers · Browse ZIP 03079
- Phone
- 6038981961
- Fax
- 6038984508
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.