# KERIN L. BURDETTE, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306870597
- **Authorized official:** DR. KERIN L. BURDETTE D.D.S. (DENTIST)
- **Authorized official phone:** (314) 653-0922

## Contact information

- **Practice address:** 500 NORTHWEST PLZ, SUITE 524, SAINT ANN, MO 63074-2209
- **Practice address phone:** (314) 739-7900
- **Mailing address:** 841 VISTA POINTE DR, SAINT LOUIS, MO 63138-3849
- **Mailing address phone:** (314) 653-0922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 015946 | MO | Yes |
| 261QD0000X | Dental Clinic/Center | 5170 | AZ | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020