Provider Demographics
NPI:1538214648
Name:BURTON, ALAN MARK (DMD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARK
Last Name:BURTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 HAMBURG TPKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6251
Mailing Address - Country:US
Mailing Address - Phone:973-839-8000
Mailing Address - Fax:973-839-4819
Practice Address - Street 1:2035 HAMBURG TPKE
Practice Address - Street 2:SUITE B
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6251
Practice Address - Country:US
Practice Address - Phone:973-839-8000
Practice Address - Fax:973-839-4819
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI146301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice