Provider Demographics
NPI:1578655742
Name:BURTON, JAMES PAUL JR
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:BURTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:PAUL
Other - Last Name:BURTON
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6 MARANS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9126
Mailing Address - Country:US
Mailing Address - Phone:501-868-7106
Mailing Address - Fax:
Practice Address - Street 1:8116 CANTRELL RD
Practice Address - Street 2:C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2421
Practice Address - Country:US
Practice Address - Phone:501-227-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR24631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice