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STAG DENTAL
NPI 1528565009
Clinic/Center - Dental in Kingsley, MI

Active since April 10, 2018
116 W MAIN ST, KINGSLEY, MI 49649(231) 642-2042 Get Directions Write a Review

NPPES record last updated: January 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2020, Apr 10, 2018 (2 updates tracked since 2018).

About Stag Dental NPPES

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

STAG DENTAL (NPI 1528565009) is a healthcare organization registered as a dental in Kingsley, Michigan and active in the NPI registry since April 2018. The organization lists David Erik Richard Burke, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1528565009
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBURKE DENTAL, PLLC
Location Address116 W MAIN STKingsley, MI 49649-5109
Mailing AddressPo Box 518Kingsley, MI 49649-0518 · (231) 642-2042
Phone(231) 642-2042
Organization SubpartNo
Authorized OfficialDavid Erik Richard BurkeOwner/doctor · (231) 642-2042
Enumeration DateApril 10, 2018
Last NPPES UpdateJanuary 4, 20202 updates tracked since enumeration
✔ NPI 1528565009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MI · 802133003
116 W MAIN ST, Kingsley, MI 49649
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Other Names 1

Doing Business AsStag Dental

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 Burke Dental, PLLC's NPI number?

The NPI number for Burke Dental, PLLC is 1528565009. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider is doing business as Stag Dental.

Where is Burke Dental, PLLC located?

Burke Dental, PLLC is located at 116 W Main St, Kingsley, MI 49649. The listed phone number is (231) 642-2042.

What is Burke Dental, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Burke Dental, PLLC was last updated on January 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.