Provider Demographics
NPI:1861853533
Name:BARTON, JESSICA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:M
Last Name:BARTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 S. WATERLEAF DR.
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074
Mailing Address - Country:US
Mailing Address - Phone:260-349-8156
Mailing Address - Fax:
Practice Address - Street 1:1509 S. WATERLEAF DR.
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074
Practice Address - Country:US
Practice Address - Phone:317-399-1208
Practice Address - Fax:317-399-1230
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012514A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist