Organization
WESLEY J BURKE DDS AND CYNTHIA P HALL DMD
Active
Other names
Superfriendly Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE B BURKE (OFFICE MANAGER)
(706) 276-2828
Entity
Organization
Contact information
Practice address
160 SAILORS DR, ELLIJAY, GA 30540-3743
(706) 276-2828
(706) 276-2826
Mailing address
PO BOX 565, 160 SAILORS DRIVE, ELLIJAY, GA 30540-0008
(706) 276-2828
(706) 276-2826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011546
GA
1223G0001X
General Practice Dentistry
Primary
7996
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00044888A
—
GA
05
—
00912678A
—
GA
Enumeration date
04/26/2007
Last updated
08/22/2020
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