# DANIEL J BURTON DDS PC

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

## Provider details

- **NPI number:** 1730515404
- **Authorized official:** DR. DANIEL J BURTON DDS (PRES)
- **Authorized official phone:** (616) 784-9150

## Contact information

- **Practice address:** 555 MIDTOWNE NE, SUITE 104, GRAND RAPIDS, MI 49503-5713
- **Practice address phone:** (616) 784-9150
- **Practice address fax:** (616) 784-4468
- **Mailing address:** 555 MIDTOWNE NE, SUITE 104, GRAND RAPIDS, MI 49503-5713
- **Mailing address phone:** (616) 784-9150
- **Mailing address fax:** (616) 784-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11372 | MI | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 05/16/2014