Jerry N Burton, DDS Valid NPI
Individual provider · General Practice Dentistry · Norfolk, VA
- NPI
- 1992776355
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 015531 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-02-01
- Last updated
- 2016-06-27
Practice location
1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803
(757) 314-6609