Burke, Mary Hagan
Burke, Mary Hagan is an sole proprietor health care provider with primary practice located at 5600 Oakland Ave Dental Hygiene St Louis Community College-Forest Park, Saint Louis MO 63110-1393. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Burke, Mary Hagan can be contacted via phone (314) 644-9630.Contact Information
Primary practice address
5600 Oakland Ave Dental Hygiene St Louis Community College-Forest Park
Saint Louis MO 63110-1393
Phone: (314) 644-9630
Fax: (314) 951-9490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 012706 | Missouri |
Profile Details
| NPI number | 1417166000 |
|---|---|
| LBN Legal business name | Burke, Mary Hagan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | May 13th, 2008 - about 16 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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