Provider Demographics
NPI:1942095302
Name:ADSUM DENTAL
Entity type:Organization
Organization Name:ADSUM DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERIK RICHARD
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:231-735-3715
Mailing Address - Street 1:4480 MOUNT HOPE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49690-9209
Mailing Address - Country:US
Mailing Address - Phone:231-486-6878
Mailing Address - Fax:
Practice Address - Street 1:4480 MOUNT HOPE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:MI
Practice Address - Zip Code:49690-9209
Practice Address - Country:US
Practice Address - Phone:231-486-6878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BURKE DENTAL, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty