Individual
JEFFRY ADAM BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24 TINKER MILL RD, DALEVILLE, VA 24083-3716
(540) 992-1020
Mailing address
PO BOX 204, DALEVILLE, VA 24083-0204
(864) 903-9731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415562
VA
122300000X
Dentist
DGD.8084GD
SC
Other
Enumeration date
03/05/2012
Last updated
05/28/2020
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