Burke Crawford DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BURKE CRAWFORD DDS PLLC

Doing business as

Fenton Family Dental

Practice address

8996 Burke Lake Rd Ste 200
Burke, VA 22015-1607

Phone

(703) 798-9215

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By 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

Kyiah D Gill, MPH

Title

Human Resources

Phone

(240) 634-9900

Specialties & licenses 1

Addresses

Other names 1

• Fenton Family Dental Doing business as

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1124610126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE RD STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151607",
            "telephone_number": "703-798-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CRAWFORD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KYIAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "240-634-9900",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Joseph Brosnan, DMD
• Robin Denise Brown
• Sara Elizabeth Bunin, D.D.S
• Rachel A Burchard, MD
• Brian Jay Burgener, LCSW
• Burke Dental
• Burke Dental, PLLC
• Burke Family Dentistry PC
• Burke Family Eyecare Center, PC
• Burke Family Practice P.C.

• General Practice Dentistry in Burke, VA
• Providers in Burke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.