Healthcare Provider Details

I. General information

NPI: 1285326165
Provider Name (Legal Business Name): REID CRAWFORD BURLESON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 N DEAN RD
AUBURN AL
36830-9419
US

IV. Provider business mailing address

867 N DEAN RD
AUBURN AL
36830-9419
US

V. Phone/Fax

Practice location:
  • Phone: 334-887-6111
  • Fax:
Mailing address:
  • Phone: 334-887-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007662-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: