# BURKE FAMILY DENTISTRY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1558928135
- **Authorized official:** JEFFREY PALMER (MANAGER)
- **Authorized official phone:** (703) 433-0234

## Contact information

- **Practice address:** 5200A ROLLING RD, BURKE, VA 22015-4696
- **Practice address phone:** (703) 323-3910
- **Mailing address:** 21155 WHITFIELD PLACE SUITE 104, STERLING, VA 20165
- **Mailing address phone:** (703) 433-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 06/03/2019