Dennis C Burton, DDS
Individual provider Active NPI General Practice Dentistry · Washington, IL
NPI 1629150347 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1629150347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019020472 (IL)
- Practice address
- 300 W Peoria
Washington, IL 61571-2425 - Phone
- (309) 444-8481
- Fax
- (309) 444-9513
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019020472 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Dentistry | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019020472 | IL | Yes |
Addresses
Primary practice location
300 W Peoria
Washington, IL 61571-2425
Mailing address
263 Hoffman Rd
Metamora, IL 61548-9434
Phone (309) 822-0061
Other providers in Washington, IL
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- Bryanna R Bray
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- Judy Anne Brown
- Cheryl Lynn Bunyan
- Kara Bushong
- Lisa House/Apartment Byard
- Jon Byler
- Stephanie Calderas
- Scott Carlson
All providers in Washington, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.