| Rodney P Burton Dds Inc | |
|
75 Long Ct Suite 200 Thousand Oaks CA 91360-6039 | |
| (805) 494-1500 | |
| (805) 435-1809 |
| Full Name | Rodney P Burton Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 75 Long Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Rodney P Burton (PRESIDENT) |
| Authorized Official Contact | 8054941500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney P Burton Dds Inc 75 Long Ct Suite 200 Thousand Oaks CA 91360-6039 Ph: (805) 494-1500 | Rodney P Burton Dds Inc 75 Long Ct Suite 200 Thousand Oaks CA 91360-6039 Ph: (805) 494-1500 |
| NPI Number | 1639422538 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 4587816756 |
|---|---|
| Medicare Enrollment ID | O20121214000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639422538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33554 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 33554 (California) | Secondary |
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