Provider Demographics
NPI:1376616631
Name:BARTON, CHARLES II (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:BARTON
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-0233
Mailing Address - Country:US
Mailing Address - Phone:802-222-5776
Mailing Address - Fax:802-222-5647
Practice Address - Street 1:21 BARTON STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033-0503
Practice Address - Country:US
Practice Address - Phone:802-222-5776
Practice Address - Fax:802-222-5647
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT12141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice