Individual
DR. BRIAN OSCAR BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
(804) 562-2698
Mailing address
10409 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4407
(804) 562-2667
(804) 562-2698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011228A
IN
122300000X
Dentist
6340
OK
122300000X
Dentist
DN012570
GA
1223P0221X
Pediatric Dentistry
Primary
0401413575
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415429674A
—
GA
Enumeration date
08/09/2006
Last updated
08/12/2014
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