Provider Demographics
NPI:1619215217
Name:RICHARD C BARTON DMD
Entity Type:Organization
Organization Name:RICHARD C BARTON DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-566-2711
Mailing Address - Street 1:1025 N PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-1404
Mailing Address - Country:US
Mailing Address - Phone:610-566-2711
Mailing Address - Fax:610-892-1724
Practice Address - Street 1:1025 N PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1404
Practice Address - Country:US
Practice Address - Phone:610-566-2711
Practice Address - Fax:610-892-1724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty