Provider Demographics
NPI:1457373375
Name:NORTON, PATRICIA ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELAINE
Last Name:NORTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:ELAINE
Other - Last Name:KWIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1099 W WOOD ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62522
Mailing Address - Country:US
Mailing Address - Phone:217-422-1593
Mailing Address - Fax:217-422-9819
Practice Address - Street 1:1099 W WOOD ST
Practice Address - Street 2:SUITE E
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62522
Practice Address - Country:US
Practice Address - Phone:217-422-1593
Practice Address - Fax:217-422-9819
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist