# JONATHAN S. BURKE, DDS, PC

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

## Provider details

- **NPI number:** 1912176686
- **Authorized official:** DR. JONATHAN SCOTT BURKE DDS (PRESIDENT)
- **Authorized official phone:** (219) 662-9932

## Contact information

- **Practice address:** 1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
- **Practice address phone:** (219) 662-9932
- **Practice address fax:** (219) 663-9688
- **Mailing address:** 1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
- **Mailing address phone:** (219) 662-9932
- **Mailing address fax:** (219) 663-9688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12009850 | IN | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 02/26/2008