Healthcare Provider Details

I. General information

NPI: 1811078744
Provider Name (Legal Business Name): DAVID E BARTO JR DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4841A HIXSON PIKE
HIXSON TN
37343-4431
US

IV. Provider business mailing address

1306 ARMAND DR APT 301
MEMPHIS TN
38103
US

V. Phone/Fax

Practice location:
  • Phone: 423-877-2443
  • Fax: 423-877-2787
Mailing address:
  • Phone: 423-280-8718
  • Fax: 423-877-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number8160
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number8160
License Number StateTN

VIII. Authorized Official

Name: DR. DAVID EUGENE BARTO JR.
Title or Position: DENTIST
Credential:
Phone: 423-877-2443