Provider Demographics
NPI:1821678996
Name:BURTON, MORGAN PAIGE
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:PAIGE
Last Name:BURTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 TYSON TRL
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3012
Mailing Address - Country:US
Mailing Address - Phone:928-707-4677
Mailing Address - Fax:
Practice Address - Street 1:5825 TYSON TRL
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-3012
Practice Address - Country:US
Practice Address - Phone:928-707-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist