Mary Hagan Burke in Saint Louis - Periodontics
Mary Hagan Burke - NPI 1417166000
Mary Hagan Burke is a Periodontics in Saint Louis, Missouri. Mary Hagan Burke practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mary Hagan Burke is 1417166000. The last update date is 2008-05-13.
Mary Hagan Burke's current location address is 918 Woodleigh Ct, Saint Louis, Missouri. You can contact this provider via phone number 3148212588 and fax number 3148212903. The mailing address for Mary Hagan Burke is 918 Woodleigh Ct, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Hagan Burke |
|---|---|
| Address | 918 Woodleigh Ct, Saint Louis, Missouri |
| Phone Number | 3148212588 |
| Fax Number | 3148212903 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417166000 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 918 Woodleigh Ct |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631224805 |
| Phone Number | 3148212588 |
| Fax Number | 3148212903 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 12706 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Hagan Burke by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Hagan Burke has been assigned the NPI (National Provider Identifier) 1417166000. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mary Hagan Burke's facilities are geographically located?
The facilities of Mary Hagan Burke are physically situated at the following location: 918 Woodleigh Ct, Saint Louis, MO, 631224805.
What is the area of specialization for Mary Hagan Burke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Hagan Burke is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
When did Mary Hagan Burke receive its 1417166000 assignment?
The Mary Hagan Burke was assigned its 1417166000 on 2007-05-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mary Hagan Burke most recently updated or revised?
The details related to Mary Hagan Burke, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-13.
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