NPI 1326213885

Bonnie L Burton DDS PLLC

Organisation Exclusive Provider Organization Lawton, OK

Practice location

Address: 1320 NW Homestead Dr Suite I, Lawton, OK 73505-5288
Phone: (580) 536-2662
Fax: (580) 536-2226
Mailing address: 1320 NW Homestead Suite I, Lawton, OK 73505-4202

Authorised official

Name: Bonnie L Burton
Title: Owner
Phone: (580) 536-2662

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4098 (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1326213885
Entity type: Organization
NPI issued: 25 Apr 2008
Record last updated: 3 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.