Provider Demographics
NPI:1659441723
Name:BARTON, JOHN PAGE III (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAGE
Last Name:BARTON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:J
Other - Middle Name:PAGE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:615 HOLIDAY PLAZA
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1307
Mailing Address - Country:US
Mailing Address - Phone:913-727-1432
Mailing Address - Fax:
Practice Address - Street 1:615 HOLIDAY PLAZA
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1307
Practice Address - Country:US
Practice Address - Phone:913-727-1432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice