Teddy Willis Burke, DDS is a
Dentist based in Hampton, Minnesota. Teddy Willis Burke is licensed to practice in Minnesota (license number 8073) and his current practice location is
23325 Water St, Hampton, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 437-8086.
NPI number for Teddy Willis Burke is 1568444180 and his current mailing address is Po Box 68, Hampton, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568444180.
Healthcare Provider's Profile
| Full Name | Teddy Willis Burke |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 23325 Water St, Hampton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568444180
- Provider Enumeration Date: 11/18/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Teddy Willis Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568444180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 8073 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teddy Willis Burke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teddy Willis Burke, DDS
Po Box 68,
Hampton, MN 55031-0068
Ph: (651) 437-8086 | Teddy Willis Burke, DDS
23325 Water St,
Hampton, MN 55031-9798
Ph: (651) 437-8086 |
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