MEDICARE: DR. DAVID E BARTO JR. DDS

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	122300000X	Dentist	8160	TN
2	1223P0221X	Pediatric Dentistry	8160	TN

General Provider Information

NPI Number	:	1700967643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E BARTO JR. DDS

Provider Business Mailing Address
First Line	:	601 TREMONT ST.
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4841 A HIXSON PIKE
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4431
Country	:	US
Telephone Number	:	423-877-2443
Fax Number	:	423-877-2787

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	10/02/2008

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