Wesley J Burke DDS and Cynthia P Hall DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7996 Issued in GA

Legal business name

WESLEY J BURKE DDS AND CYNTHIA P HALL DMD

Doing business as

Superfriendly Dental

Practice address

160 Sailors Dr
Ellijay, GA 30540-3743

Phone

(706) 276-2828

Fax

(706) 276-2826

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine B Burke

Title

Office Manager

Phone

(706) 276-2828

Specialties & licenses 2

Addresses

Other names 1

• Superfriendly Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia P Hall, DMD

  • General Practice Dentistry
  • Ellijay, GA
  • NPI 1194938563
  NPD (past)
• Barbara Ann Kroninger, DDS

  • Dentist
  • Ellijay, GA
  • NPI 1437274693
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124248836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "address_2": "160 SAILORS DRIVE",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400008",
            "telephone_number": "706-276-2828",
            "fax_number": "706-276-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SAILORS DR",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403743",
            "telephone_number": "706-276-2828",
            "fax_number": "706-276-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY J BURKE DDS AND CYNTHIA P HALL DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-276-2828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7996",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superfriendly Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donna B Walden, RN
• Rachel Lynn Walker, OTR
• Racquel Denise Watkins, RN
• James William White Jr., CRNA
• Jo A White
• Carley Whitlow
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• General Practice Dentistry in Ellijay, GA
• Providers in Ellijay, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.