NPI 1467670828 · live from the CMS NPI Registry
Stephen P. Burke, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Beavercreek, OH. National Provider Identifier 1467670828, active.
NPI record
| NPI | 1467670828 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3300 Kemp Rd, Beavercreek, OH 45431 |
| Practice phone | 937-426-6860 |
| Mailing address | 255 Park Rd, Dayton, OH 45419 |
| Enumerated | April 23, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30019668 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.