# JEFFRY A. BURKE, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Daleville Family Denistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093244105
- **Authorized official:** JEFFRY ADAM BURKE DMD (OWNER)
- **Authorized official phone:** (864) 903-9731

## Contact information

- **Practice address:** 24 TINKER MILL RD, DALEVILLE, VA 24083-3716
- **Practice address phone:** (540) 992-1020
- **Mailing address:** PO BOX 204, DALEVILLE, VA 24083-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401415562 | VA | Yes |

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 06/12/2017