Provider Demographics
NPI:1699941559
Name:BARRETT, BARTON TIMOTHY (DMD)
Entity type:Individual
Prefix:DR
First Name:BARTON
Middle Name:TIMOTHY
Last Name:BARRETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100A PROVIDENCE MAIN ST NW STE C
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4825
Mailing Address - Country:US
Mailing Address - Phone:256-513-6888
Mailing Address - Fax:256-513-6887
Practice Address - Street 1:100A PROVIDENCE MAIN ST NW STE C
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4825
Practice Address - Country:US
Practice Address - Phone:256-513-6888
Practice Address - Fax:256-513-6887
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8873122300000X
AL58141223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist