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DR. MARY HAGAN BURKE DDS
NPI 1417166000
Dentist - Periodontics in Saint Louis, MO

Active since May 21, 2007
5600 OAKLAND AVE, DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARK, SAINT LOUIS, MO 63110(314) 644-9630(314) 951-9490 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mary Hagan Burke Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY HAGAN BURKE DDS (NPI 1417166000) is an individual periodontics provider in Saint Louis, Missouri, licensed in Missouri (012706) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1417166000
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARY HAGAN BURKECredential: DDS
Location Address5600 OAKLAND AVE, DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARKSaint Louis, MO 63110-1393
Mailing Address918 Woodleigh CtSaint Louis, MO 63122-4805 · (314) 821-2588 · Fax (314) 821-2903
Phone(314) 644-9630
Fax(314) 951-9490
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1417166000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MO · 012706
Definition

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.

5600 OAKLAND AVE, Saint Louis, MO 63110
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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

SUSAN MARTIN ATC
Specialist/Technologist (Athletic Trainer)
5600 OAKLAND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 644-9278

Frequently Asked Questions

What is Mary Burke's NPI number?

The NPI number assigned to this healthcare provider is 1417166000, enumerated as an "individual" on May 21, 2007.

Where is the provider located?

The provider is located at 5600 OAKLAND AVE DENTAL HYGIENE ST LOUIS COMMUNITY COLLEGE-FOREST PARK SAINT LOUIS, MO 63110 and the phone number is (314) 644-9630.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.