Healthcare Provider Details

I. General information

NPI: 1699269407
Provider Name (Legal Business Name): ROBERT ANSLO BARTON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 CAMP BOWIE BLVD
FORT WORTH TX
76107-3355
US

IV. Provider business mailing address

1800 N FIELD ST APT 4209
DALLAS TX
75202-2782
US

V. Phone/Fax

Practice location:
  • Phone: 817-737-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number42221
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: