Provider Demographics
NPI:1629487715
Name:DUGGER, BURMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BURMA
Middle Name:
Last Name:DUGGER
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 1:200 SPUR 113
Mailing Address - Street 2:
Mailing Address - City:TEAGUE
Mailing Address - State:TX
Mailing Address - Zip Code:75860-5174
Mailing Address - Country:US
Mailing Address - Phone:254-739-5555
Mailing Address - Fax:254-739-5319
Practice Address - Street 1:200 SPUR 113
Practice Address - Street 2:
Practice Address - City:TEAGUE
Practice Address - State:TX
Practice Address - Zip Code:75860-5174
Practice Address - Country:US
Practice Address - Phone:254-739-5555
Practice Address - Fax:254-739-5319
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist