# DR. SPENCER JERALD BURTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225218357
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6935 | NE | Yes |
| 122300000X | Dentist | 7429 | AZ | — |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 09/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 483765 | — | AZ |
| 05 | — | 78732280 | — | NM |
