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General NPI Number Information
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NPI Number | 1134515810
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Entity Type | Organization
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Legal Business Name | DAVID BARTS DDS PC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 1360 E 4TH ST
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City | ROCHESTER
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State | IN
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Zip | 46975-9103
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Country | US
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Telephone | 574-223-7792
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Fax | 574-224-7792
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Provider Business Mailing Address
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Address Line | 1360 E 4TH ST PO BOX 667
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City | ROCHESTER
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State | IN
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Zip | 46975-9103
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Country | US
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Telephone | 574-223-7792
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Fax | 574-224-7792
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DAVID JOE BARTS
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Credential | DDS
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Telephone | 574-223-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12009107A
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License Number State | IN
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