Teddy Willis Burke, DDS Valid NPI

Individual provider · Dentist · Hampton, MN

NPI

1568444180

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

8073 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-18

Last updated

2026-07-13