BURKE DENTAL PLLC NPI 1528565009

NPI Information

NPI: 1528565009
Provider Name: BURKE DENTAL, PLLC

Doing Business As: STAG DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
116 W MAIN ST
KINGSLEY, MI
ZIP 49649
Phone: (231) 642-2042
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BURKE DENTAL, PLLC is a dental clinic center in Kingsley, MI. BURKE DENTAL, PLLC NPI is 1528565009. The provider is registered as an organization entity type.
The provider Is Doing Business As Stag Dental.

The provider's business location address is:

116 W MAIN ST
KINGSLEY, MI
ZIP 49649-109
Phone: (231) 642-2042

The provider's authorized official is David Erik Richard Burke .
The authorized official title is Owner/doctor and has the following contact phone number (231) 642-2042.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 1/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	802133003	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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