Provider Demographics
NPI:1821167396
Name:BARRE', BARTON CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:CHARLES
Last Name:BARRE'
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 MANHATTAN BLVD. BLVD
Mailing Address - Street 2:SUITE D-5
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3378
Mailing Address - Country:US
Mailing Address - Phone:504-367-0355
Mailing Address - Fax:504-229-5203
Practice Address - Street 1:2645 MANHATTAN BLVD STE D5
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3386
Practice Address - Country:US
Practice Address - Phone:504-367-0355
Practice Address - Fax:504-229-5203
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-09-12
Deactivation Date:2023-09-07
Deactivation Code:
Reactivation Date:2023-09-12
Provider Licenses
StateLicense IDTaxonomies
LA41611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice