Provider Demographics
NPI:1699520031
Name:BARTON, CAYLEE (RDH, BSDH)
Entity type:Individual
Prefix:MRS
First Name:CAYLEE
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:RDH, BSDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11219 W MARIE DR
Mailing Address - Street 2:
Mailing Address - City:BISHOPVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21813-1638
Mailing Address - Country:US
Mailing Address - Phone:443-614-8267
Mailing Address - Fax:410-641-4458
Practice Address - Street 1:500 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1337
Practice Address - Country:US
Practice Address - Phone:410-641-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6671124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist