Burke Dental, PLLC
Organization Active NPI General Practice Dentistry · Burke, VA
NPI 1407228463 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1407228463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- BURKE DENTAL, PLLC
- Practice address
- 9006 Fern Park Dr.
Suite a
Burke, VA 22015 - Phone
- (703) 978-6000
- NPI assigned
- Oct 29, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
- Name
- Dr. James Willis, DDS
- Title
- Dentist/Owner
- Phone
- (703) 978-6000
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 1
-
Richard Carl Brigleb, DDS
National Provider Directory
- Tax ID family
- Burke Dental
- Part of
- Giovanni P Iuculano DDS PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
9006 Fern Park Dr.
Suite a
Burke, VA 22015
Mailing address
9006 Fern Park Dr.
Suite a
Burke, VA 22015
Phone (703) 978-6000
Other providers in Burke, VA
- Sara Elizabeth Bunin
- Rachel A Burchard
- Brian Jay Burgener
- Burke Crawford DDS PLLC
- Burke Dental
- Burke Family Dentistry PC
- Burke Family Eyecare Center, PC
- Burke Family Practice P.C.
- Burke Healthcare Solutions, LLC
- Burke Internal Medicine Inc
All providers in Burke, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.