Individual
DR. CHARLES HENRY BURTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1725 EAST UNION STREET, GREENVILLE, MS 38701
(662) 335-7144
(662) 335-7149
Mailing address
1725 EAST UNION STREET, GREENVILLE, MS 38701
(662) 335-7144
(662) 335-7149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
157673
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063225
—
MS
Enumeration date
12/20/2006
Last updated
07/08/2007
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