Provider Demographics
NPI:1538460969
Name:BURGES, AFROZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:AFROZ
Middle Name:
Last Name:BURGES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12234 SHADOW CREEK PKWY STE 3108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7332
Mailing Address - Country:US
Mailing Address - Phone:713-340-2889
Mailing Address - Fax:713-340-2887
Practice Address - Street 1:12234 SHADOW CREEK PKWY BLDG 3
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7330
Practice Address - Country:US
Practice Address - Phone:713-370-2889
Practice Address - Fax:713-340-2887
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200550780122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist