Provider Demographics
NPI:1902829229
Name:BURTON, E. RAMSEY JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:RAMSEY
Last Name:BURTON
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4010 DUPONT CIR
Mailing Address - Street 2:SUITE 524
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4812
Mailing Address - Country:US
Mailing Address - Phone:502-897-9417
Mailing Address - Fax:502-897-9419
Practice Address - Street 1:4010 DUPONT CIR
Practice Address - Street 2:SUITE 524
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4812
Practice Address - Country:US
Practice Address - Phone:502-897-9417
Practice Address - Fax:502-897-9419
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY54461223P0300X
IN82701223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics