Healthcare Provider Details

I. General information

NPI: 1659275790
Provider Name (Legal Business Name): BURLINGTON DENTAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 WASHINGTON ST
BURLINGTON KY
41005-8518
US

IV. Provider business mailing address

3014 WASHINGTON ST
BURLINGTON KY
41005-8518
US

V. Phone/Fax

Practice location:
  • Phone: 859-689-9225
  • Fax: 859-689-9201
Mailing address:
  • Phone: 859-689-9225
  • Fax: 859-689-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SARAH BRUNELLE
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 859-689-9225