Burke, Brian Oscar

Burke, Brian Oscar is an individual health care provider with primary practice located at 10409 Midlothian Tpke , North Chesterfield VA 23235-4407. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Burke, Brian Oscar can be contacted via phone (804) 562-2667.

Contact Information

Primary practice address
10409 Midlothian Tpke North Chesterfield VA 23235-4407
Phone: (804) 562-2667
Fax: (804) 562-2698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN012570 Georgia
Dental Providers / Dentist 122300000X 6340 Oklahoma
Dental Providers / Dentist 122300000X 12011228A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 0401413575 Virginia

Profile Details

NPI number 1558371633
LBN Legal business name Burke, Brian Oscar
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558371633 NPPES
Georgia MEDICAID 415429674A

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