Organization
BURKE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA BRIDGES BURKE DMD (OWNER)
(601) 573-1947
Entity
Organization
Contact information
Practice address
1476 W GOVERNMENT STREET SUITE A, BRANDON, MS 39042
(601) 573-1947
Mailing address
600 PROSPERITY PL, BRANDON, MS 39042-6061
(601) 573-1947
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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