IndividualActive
Mary Burke, DDS
NPI 1417166000 · Periodontics · Saint Louis, MO
Mary Burke, DDS is a Periodontics provider in Saint Louis, MO (NPI 1417166000).
Provider details
- NPI number
- 1417166000
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012706 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5600 Oakland Ave
Dental Hygiene St Louis Community College-Forest Park
Saint Louis, MO 63110-1393
Phone: (314) 644-9630
Fax: (314) 951-9490
Approximate (ZIP-level) locationGet directions
Mailing address
918 Woodleigh Ct
Saint Louis, MO 63122-4805
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2008-05-13
Frequently asked questions
- What is Mary Burke's NPI number?
- Mary Burke's National Provider Identifier (NPI) is 1417166000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Burke's specialty?
- Mary Burke is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Mary Burke located?
- Mary Burke's practice location on file with NPPES is 5600 Oakland Ave, Saint Louis, MO 63110-1393.
- What is Mary Burke's phone number?
- The practice phone number listed in the NPPES registry for Mary Burke is (314) 644-9630.
- Is Mary Burke's NPI active?
- Yes — Mary Burke's NPI (1417166000) is active in the NPPES registry as of the last update on 2008-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.