Individual provider · Type 1 NPI

Mary Hagan Burke, DDS

Periodontics · St. Louis, MO

NPI number 1417166000 Active

Practice location

5600 Oakland Ave, Dental Hygiene St Louis Community College-Forest Park
St. Louis, MO 63110-1393

Fax (314) 951-9490

Mailing address

918 Woodleigh Ct
St. Louis, MO 63122-4805

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X012706 (MO)

Periodontics: 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.

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About NPI 1417166000

Mary Hagan Burke, DDS's National Provider Identifier is 1417166000, issued on May 21, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Louis, MO. The record was last updated on May 13, 2008.