Healthcare Provider Details

I. General information

NPI: 1316998321
Provider Name (Legal Business Name): BARTON SWARR D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 SPRING FOREST RD SUITE 300
RALEIGH NC
27609-9700
US

IV. Provider business mailing address

809 SPRING FOREST RD SUITE 300
RALEIGH NC
27609-9700
US

V. Phone/Fax

Practice location:
  • Phone: 919-790-9070
  • Fax:
Mailing address:
  • Phone: 919-790-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number5529
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: