Provider Demographics
NPI:1386754497
Name:BURTON, JAMES NORMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NORMAN
Last Name:BURTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 MARYLAND WAY
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7513
Mailing Address - Country:US
Mailing Address - Phone:615-373-8001
Mailing Address - Fax:615-371-9589
Practice Address - Street 1:5111 MARYLAND WAY
Practice Address - Street 2:SUITE 306
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7513
Practice Address - Country:US
Practice Address - Phone:615-373-8001
Practice Address - Fax:615-371-9589
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7641122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist