NPIMap

Organization Active NPI

Jeffry a. Burke, DMD, PLLC

Doing business as Daleville Family Denistry

  • Dental Clinic/Center
  • Daleville, VA
National Provider Identifier
1093244105
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401415562 Issued in VA
Legal business name
JEFFRY A. BURKE, DMD, PLLC
Doing business as
Daleville Family Denistry
Practice address
24 Tinker Mill Rd
Daleville, VA 24083-3716
Phone
(540) 992-1020
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffry Adam Burke, DMDNPI 1508130865
Title
Owner
Phone
(864) 903-9731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401415562 VA Primary

Addresses

Primary practice location

24 Tinker Mill Rd
Daleville, VA 24083-3716

Mailing address

PO Box 204
Daleville, VA 24083-0204

Other names 1

  • Daleville Family Denistry Doing business as

National Provider Directory

National Provider Directory

Locations

24 Tinker Mill Rd
Daleville, VA 24083
Phone (540) 922-1020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1093244105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240830204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TINKER MILL RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240833716",
            "telephone_number": "540-992-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY A. BURKE, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-903-9731",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401415562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daleville Family Denistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.