Provider Demographics
NPI:1063506533
Name:BURTON, HAROLD NEWTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:NEWTON
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 1:1771 INDEPENDENCE COURT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-870-5834
Mailing Address - Fax:205-870-1618
Practice Address - Street 1:1771 INDEPENDENCE COURT
Practice Address - Street 2:SUITE 2
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-870-5834
Practice Address - Fax:205-870-1618
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28421223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT68667Medicare UPIN