DR. MARY HAGAN BURKE


Address: 5600 Oakland Ave, Dental Hygiene St Louis Community College-forest Park, Saint Louis, MO 63110-1393
Phone: 3146449630

DR. MARY HAGAN BURKE (NPI# 1417166000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417166000
Entity Type Individual
Full Name DR. MARY HAGAN BURKE
Credential DDS
Practice Address 5600 Oakland Ave
Dental Hygiene St Louis Community College-forest Park
Saint Louis
MO 63110-1393
Mailing Address 918 Woodleigh Ct
Saint Louis
MO 63122-4805
Practice Telephone 3146449630
Practice Fax Number 3149519490
Mailing Telephone 3148212588
Mailing Fax Number 3148212903
Enumeration Date 2007-05-21
Last Update Date 2008-05-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
012706 MO Dental Providers

Other Providers MARY BURKE

NPI Name Taxonomy Address Enumeration
1861984403 Mary Kathleen Burke Behavior Technician 2044 Nu Pl, Honolulu, HI 96817-2235 2018-05-30
1821402694 Mary Mcdonagh Burke Pediatrics 42 Tokalon Pl, Metairie, LA 70001-3020 2014-06-19
1609291004 Mary Catherine Burke Psychologist 1900 Murray Ave Ste 206, Pittsburgh, PA 15217-1657 2014-02-22
1699114645 Mary Elizabeth Burke Social Worker 417 Liberty St Ste 2, Springfield, MA 01104-3766 2013-06-21
1154675197 Mary E Burke Social Worker 36 N Shore Rd, Denville, NJ 07834-1559 2012-10-30
1487923447 Mary Burke Registered Nurse 2694 Oak Knoll Dr, Jackson, WI 53037-9013 2011-12-21
1124359567 Mary Elizabeth Burke Massage Therapist 1320 W Barrett St, Seattle, WA 98119-2038 2010-01-25
1780839142 Mary Burke Physical Therapist 3 Alston Pl, Douglaston, NY 11363-1203 2008-11-25
1942304084 Mary G Burke Psychiatry & Neurology 1350 South Eliseo Drive, Suite 220, Greenbrae, CA 94904 2006-09-11
1336112952 Mary K Burke Nurse Practitioner 95 N Moorland Rd, Brookfield, WI 53005-6020 2006-02-13

Office Location

Street Address 5600 OAKLAND AVE
DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARK
City SAINT LOUIS
State MO
Zip Code 63110-1393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235168550 Susan Martin Specialist/Technologist 5600 Oakland Ave, Saint Louis, MO 63110-1316 2006-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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 structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598988909 Matthew Shelby Slaven Dentist 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 2007-04-11
1093737264 William Cohen Dentist 777 S New Ballas Rd Ste 217w, Saint Louis, MO 63141-8717 2006-07-24
1912528548 Parth Mangrola Dentist 3320 Rutger St, Saint Louis, MO 63104-1122 2020-05-05
1871756130 David Douglas Miley Dentist 1034 S Brentwood Blvd, Suite 740, Saint Louis, MO 63117-1223 2008-07-08
1124212790 Periodontics Ltd Dentist 3555 Sunset Office Dr Ste C105, Saint Louis, MO 63127-1014 2007-08-28
1164623963 William B Albair Dentist 3555 Sunset Office Dr, Suite C-105, Saint Louis, MO 63127-1015 2007-05-30
1003021833 Raphael Ivan Williams Dentist 8515 Delmar Blvd, 217, Saint Louis, MO 63124-2168 2007-05-14
1720290372 Deshmukh Dds, PC Dentist 1034 S Brentwood Blvd, Suite #740, Saint Louis, MO 63117-1223 2007-05-04
1174746564 George V Duello Dentist 3555 Sunset Office Dr, Suite C105, Saint Louis, MO 63127-1015 2007-04-11
1861523581 Marwan Assaf Dentist 11709 Old Ballas Rd, Suite 206, Saint Louis, MO 63141-7029 2007-03-07
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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