Organization
JONATHAN S. BURKE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCOTT BURKE DDS (PRESIDENT)
(219) 662-9932
Entity
Organization
Contact information
Practice address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Mailing address
1410 E JOLIET ST, SUITE D, CROWN POINT, IN 46307-4724
(219) 662-9932
(219) 663-9688
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12009850
IN
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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