Individual
DR. DAVID GORDON BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 883-5541
(406) 883-3379
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(720) 292-7676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8252
AZ
122300000X
Dentist
DEN-DEN-LIC-20068
MT
1223P0221X
Pediatric Dentistry
Primary
DEN-DEN-LIC-20068
MT
Other
Enumeration date
08/17/2011
Last updated
04/24/2024
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