NPI 1083476816

Jo Desha Burgess, RDH

Practitioner Dental Hygienist Washington, DC

Practice location

Address: 1201 Sycamore Dr SE, Washington, DC 20032-5956
Phone: (202) 745-7000
Mailing address: 1004 E Capitol St NE, Washington, DC 20003-3906

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence HYG2001179 (DC)

Other Dental Hygienist providers in District of Columbia →

Registry record

NPI: 1083476816
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2024
Record last updated: 26 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.