Provider Demographics
NPI:1831294453
Name:NORTON, CRYSTAL (DDS)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 SW EDINBURGH AVE
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7779
Mailing Address - Country:US
Mailing Address - Phone:479-409-4788
Mailing Address - Fax:
Practice Address - Street 1:2522 PINNACLE HILLS PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1420
Practice Address - Country:US
Practice Address - Phone:479-254-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR32701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice