Provider Demographics
NPI:1124277942
Name:NORTON, J. ALFRED (DDS)
Entity type:Individual
Prefix:DR
First Name:J.
Middle Name:ALFRED
Last Name:NORTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:ALFRED
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1032 OLD PEACHTREE RD NW
Mailing Address - Street 2:SUITE 312
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3324
Mailing Address - Country:US
Mailing Address - Phone:770-513-1312
Mailing Address - Fax:770-513-1302
Practice Address - Street 1:1032 OLD PEACHTREE RD NW
Practice Address - Street 2:SUITE 312
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3324
Practice Address - Country:US
Practice Address - Phone:770-513-1312
Practice Address - Fax:770-513-1302
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA72241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice