Virginia M Dunlap, DMD

Individual provider Active NPI General Practice Dentistry · Burkesville, KY

NPI 1033859897 · NPPES record last updated Aug 7, 2025

Key facts

NPI
1033859897
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
10776 (KY)
Practice address
360 Keen Street
Burkesville, KY 42717-7915
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220726002129 KY Order and Referring Only - Dentist
Practitioner - Dentist
5991187791

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10776KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions, Inc Past
since Jun 1, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10776 KY Yes

Addresses

Primary practice location

360 Keen Street
Burkesville, KY 42717-7915

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655

Other practice location 1

501 S Preston St Rm 148
Louisville, KY 40202-1701
Phone (502) 852-3534

Other identifiers

IdentifierTypeStateIssuer
15904719OtherKYCAQH
7100832720MedicaidKY

Other providers in Burkesville, KY

All providers in Burkesville, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.