Provider Demographics
NPI:1881792414
Name:BURKE, ERIN MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARIE
Last Name:BURKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 N 49TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4454
Mailing Address - Country:US
Mailing Address - Phone:480-369-1035
Mailing Address - Fax:602-595-9348
Practice Address - Street 1:18440 N 7TH ST
Practice Address - Street 2:SUITE 10
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-1125
Practice Address - Country:US
Practice Address - Phone:602-866-2102
Practice Address - Fax:602-866-0046
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.021887122300000X
AZD5885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist