Provider Demographics
NPI:1417070459
Name:BURK&FLINN ORTHODONTICS P.A.
Entity Type:Organization
Organization Name:BURK&FLINN ORTHODONTICS P.A.
Other - Org Name:SAUL M. BURK D.D.S.P.A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:MORTON
Authorized Official - Last Name:BURK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:301-977-4200
Mailing Address - Street 1:656 QUINCE ORCHARD RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1409
Mailing Address - Country:US
Mailing Address - Phone:301-977-4200
Mailing Address - Fax:301-869-5100
Practice Address - Street 1:656 QUINCE ORCHARD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1409
Practice Address - Country:US
Practice Address - Phone:301-977-4200
Practice Address - Fax:301-869-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD53121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty