Teddy Willis Burke is a Dentist in Hampton, Minnesota. Teddy Willis Burke practices all healthcare services and medical treatments related to Dentist. The NPI Number for Teddy Willis Burke is 1568444180. The last update date is 2007-07-08.
Teddy Willis Burke's current location address is Po Box 68, Hampton, Minnesota. You can contact this provider via phone number 6514378086. The mailing address for Teddy Willis Burke is Po Box 68, Hampton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teddy Willis Burke |
|---|---|
| Address | Po Box 68, Hampton, Minnesota |
| Phone Number | 6514378086 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568444180 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 68 |
|---|---|
| City | Hampton |
| State | Minnesota (MN) |
| Post Code | 550310068 |
| Phone Number | 6514378086 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8073 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Teddy Willis Burke by the Centers for Medicare & Medicaid Services?
The Teddy Willis Burke has been issued the NPI (National Provider Identifier) 1568444180. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Teddy Willis Burke?
The Teddy Willis Burke is situated at Po Box 68, in the city of Hampton, state of MN, with the zip code 550310068.
What is Teddy Willis Burke's area of expertise and its corresponding taxonomy classification?
The Teddy Willis Burke's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1568444180 to Teddy Willis Burke?
The Centers for Medicare & Medicaid Services assigned the 1568444180 to Teddy Willis Burke on 2005-11-18.
When was the information regarding Teddy Willis Burke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Teddy Willis Burke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.