Burton Advance Dental, P.c.

NPI #1386973931 in Burton, Michigan

Provider Information

NPI Number: 1386973931
Entity Type: Organization
Organization Name: Burton Advance Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 5492 LAPEER RD
City: Burton
State: Michigan
ZIP Code: 48509-2235
Phone: (810) 742-6600

Authorized Official

Name: DR. THOMAS J. NIVISON, D.D.S.
Title: PRESIDENT
Phone: (810) 742-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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