| Burke Dental Group | |
|
1476 W Government Street Suite A Brandon MS 39042 | |
| (601) 573-1947 | |
| Not Available |
| Full Name | Burke Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1476 W Government Street Suite A, Brandon, Mississippi |
| Authorized Official Name and Position | Amanda Bridges Burke (OWNER) |
| Authorized Official Contact | 6015731947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke Dental Group 600 Prosperity Pl Brandon MS 39042-6061 Ph: (601) 573-1947 | Burke Dental Group 1476 W Government Street Suite A Brandon MS 39042 Ph: (601) 573-1947 |
| NPI Number | 1134882822 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134882822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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