=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659275790
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BURLINGTON DENTAL CARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2026
-----------------------------------------------------
Last Update Date | 10/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3014 WASHINGTON ST
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41005-8518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-689-9225
-----------------------------------------------------
Fax | 859-689-9201
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3014 WASHINGTON ST
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41005-8518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-689-9225
-----------------------------------------------------
Fax | 859-689-9201
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/DENTIST
-----------------------------------------------------
Name | DR. SARAH BRUNELLE
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 859-689-9225
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------