Healthcare Provider Details

I. General information

NPI: 1194267724
Provider Name (Legal Business Name): JAMES H BARTON MD DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 N MAIN ST
RICHFIELD UT
84701-1840
US

IV. Provider business mailing address

882 N MAIN ST
RICHFIELD UT
84701-1840
US

V. Phone/Fax

Practice location:
  • Phone: 435-287-4455
  • Fax: 435-287-0522
Mailing address:
  • Phone: 435-287-4455
  • Fax: 435-287-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number95126489924
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number95126481205
License Number StateUT

VIII. Authorized Official

Name: DR. JAMES HAYNIE BARTON
Title or Position: PRESIDENT
Credential: MD, DDS
Phone: 435-287-4455