MEDICARE: ALANA BARTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	126800000X	Dental Assistant

General Provider Information

NPI Number	:	1134579907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA BARTON

Provider Business Mailing Address
First Line	:	900 PLEASONTON RD
Second Line	:	UNIT 476
City	:	EL PASO
State	:	TX
Zip	:	79906-3701
Country	:	US
Telephone Number	:	803-429-0052
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLDG 21227 TORCH ST.
Second Line	:	5005 N. PIEDRAS ST.
City	:	FORT BLISS
State	:	TX
Zip	:	79920-5001
Country	:	US
Telephone Number	:	915-742-9320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/13/2016

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Directions to “ ALANA BARTON ” Practice Location

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