BURKE DENTAL, PLLC (NPI# 1407228463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407228463 |
| Entity Type | Organization |
| Organization Name | BURKE DENTAL, PLLC |
| Practice Address |
9006 Fern Park Dr. Suite A Burke VA 22015 |
| Practice Telephone | 7039786000 |
| Mailing Telephone | 7039786000 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | DR. JAMES WILLIS (DENTIST/OWNER) |
| Authorized Official Telephone | 7039786000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | POTOMAC VALLEY DENTAL CARE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528565009 | Burke Dental, Pllc | Clinic/Center | 116 W Main St, Kingsley, MI 49649-5109 | 2018-04-10 |
| Street Address |
9006 FERN PARK DR. SUITE A |
| City | BURKE |
| State | VA |
| Zip Code | 22015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| 1437344314 | Joseph Dehyar | Dentist | 9534 Burke Rd, Burke, VA 22015 | 2007-09-13 |
| Find all providers in zip 22015 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871078139 | Divispreet Kaur Ludher | Dentist | 9000 Fern Park Dr # A2, Burke, VA 22015-1602 | 2018-10-02 |
| 1679969042 | Angela Marwaha | Dentist | 6035 Burke Centre Pkwy Ste 200, Burke, VA 22015-3750 | 2015-04-12 |
| 1982982252 | Pejman Ghorbani | Dentist | 6050 Burke Commons Rd Ste D, Burke, VA 22015-2878 | 2011-08-03 |
| 1013146885 | Ilie Chioariu Jr. | Dentist | 6243 Windward Dr, Burke, VA 22015-3836 | 2009-07-14 |
| 1104096817 | Susana Raygada | Dentist | 5211 Lyngate Ct, Burke, VA 22015-1671 | 2008-03-10 |
| 1093994600 | David Bertman | Dentist | 9005 Fern Park Dr, Burke, VA 22015-1637 | 2007-10-31 |
| 1437344314 | Joseph Dehyar | Dentist | 9534 Burke Rd, Burke, VA 22015 | 2007-09-13 |
| 1073722559 | Kevin Lamont Gregory | Dentist | 9570 Burke Rd Ste A, Burke, VA 22015-3152 | 2007-05-22 |
| 1154545747 | Bita Ashley Ellis | Dentist | Sunshine Dentists, 6035 Burble Centre Pkwy Suite #260, Burke, VA 22015 | 2007-04-13 |
| 1851413595 | Hashem Sedaghatpour | Dentist | 5631 Burke Centre Pkwy Ste D, Burke, VA 22015-2234 | 2007-04-04 |
| Find all providers in BURKE | ||||
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| 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.