# KEVIN W, BURTON SR., D.D.S., P. A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burton Family Dental & Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700981313
- **Authorized official:** DR. KEVIN W. BURTON SR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (252) 353-2111

## Contact information

- **Practice address:** 1720 WEST ARLINGTON BLVD, GREENVILLE, NC 27834-5998
- **Practice address phone:** (252) 353-2111
- **Practice address fax:** (252) 353-2115
- **Mailing address:** 1720 WEST ARLINGTON BLVD., GREENVILLE, NC 27834-5998
- **Mailing address phone:** (252) 353-2111
- **Mailing address fax:** (252) 353-2115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 07/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89015WF | — | NC |