# BURTON DENTAL CENTER,PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629182498
- **Authorized official:** DR. RAJIVA S TIRTHA DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (989) 288-6165

## Contact information

- **Practice address:** 103 W CLINTON ST, SUITE A, DURAND, MI 48429
- **Practice address phone:** (989) 288-6165
- **Practice address fax:** (989) 288-2030
- **Mailing address:** 103 W CLINTON ST, DURAND, MI 48429
- **Mailing address phone:** (989) 288-6165
- **Mailing address fax:** (989) 288-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D13544 | NULL | Yes |
| 122300000X | Dentist | D13544 | — | Yes |
| 1223G0001X | General Practice Dentistry | 1590520 | MI | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 04/22/2011