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

Q: What is Mary Burke's NPI number?

The NPI number for Mary Burke is 1417166000. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Mary Burke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mary Burke was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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 NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN MARTIN ATC

Specialist/Technologist (Athletic Trainer)

5600 OAKLAND AVE
SAINT LOUIS, MO 63110

St. Louis City (314) 644-9278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Burke's NPI number?

The NPI number for Mary Burke is 1417166000. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Mary Burke located?

Mary Burke practices at 5600 Oakland Ave Dental Hygiene St Louis Community College-Forest Park, Saint Louis, MO 63110. The listed phone number is (314) 644-9630.

What is Mary Burke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mary Burke was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.