Provider Demographics
NPI:1891913273
Name:NORTON, CLARENCE IRVING (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:IRVING
Last Name:NORTON
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 1:501 E MARTINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-5303
Mailing Address - Country:US
Mailing Address - Phone:803-279-4343
Mailing Address - Fax:803-279-4378
Practice Address - Street 1:501 E MARTINTOWN RD
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-5303
Practice Address - Country:US
Practice Address - Phone:803-279-4343
Practice Address - Fax:803-279-4378
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice