Provider Demographics
NPI:1881672319
Name:BYCROFT, BARTON GEORGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:GEORGE
Last Name:BYCROFT
Suffix:
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 1:1111 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6673
Mailing Address - Country:US
Mailing Address - Phone:785-825-2244
Mailing Address - Fax:
Practice Address - Street 1:1111 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6673
Practice Address - Country:US
Practice Address - Phone:785-825-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6943/4891223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery