Provider Demographics
NPI:1962621151
Name:BARTON, DANIEL JESS (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JESS
Last Name:BARTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 NORTH MULBERRY STREET
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-737-6804
Mailing Address - Fax:270-737-0533
Practice Address - Street 1:950 NORTH MULBERRY STREET
Practice Address - Street 2:SUITE 150
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701
Practice Address - Country:US
Practice Address - Phone:270-737-6804
Practice Address - Fax:270-737-0533
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84031223E0200X
KY75181223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics