Paul Burton, DDS
Individual provider Active NPI Dentist · Page, AZ
NPI 1033242532 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1033242532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS-09828 (IA)
- Practice address
- 824 El Mirage St
Page, AZ 86040-0590 - Phone
- (928) 660-9220
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190110003306 | AZ | Order and Referring Only - Dentist |
5597030510 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3897 | AZ | MD | Dentist |
| DDS-09828 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Sleep Solutions of Missouri LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-09828 | IA | Yes |
| Dentist | 122300000X | D3897 | AZ |
Addresses
Primary practice location
824 El Mirage St
Page, AZ 86040-0590
Mailing address
PO Box 2369
Page, AZ 86040-2369
Phone (928) 660-9220
Other practice location 1
680 Haul Rd. Ste B
Page, AZ 86040-2369
Phone (928) 645-2339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941569 | Medicaid | AZ |
Other providers in Page, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.