Individual provider · Type 1 NPI

Jonathan W. Burton, DMD

Oral and Maxillofacial Surgery (Dentist) · Carbondale, IL

NPI number 1710974795 Active

Practice location

2250 N Reed Station Rd, Suite 201
Carbondale, IL 62901-8101

Fax (618) 519-9364

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019-026124 (IL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021-002074 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1710974795

Jonathan W. Burton, DMD's National Provider Identifier is 1710974795, issued on Oct 4, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Carbondale, IL. The record was last updated on May 27, 2009.