| Jonathan S. Burke, Dds, Pc | |
|
1410 E Joliet St Suite D Crown Point IN 46307-4724 | |
| (219) 662-9932 | |
| (219) 663-9688 |
| Full Name | Jonathan S. Burke, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1410 E Joliet St, Crown Point, Indiana |
| Authorized Official Name and Position | Jonathan Scott Burke (PRESIDENT) |
| Authorized Official Contact | 2196629932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan S. Burke, Dds, Pc 1410 E Joliet St Suite D Crown Point IN 46307-4724 Ph: (219) 662-9932 | Jonathan S. Burke, Dds, Pc 1410 E Joliet St Suite D Crown Point IN 46307-4724 Ph: (219) 662-9932 |
| NPI Number | 1912176686 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912176686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12009850 (Indiana) | Primary |
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