Provider Demographics
NPI:1649341017
Name:BARTON, THOMAS FREDERICK (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FREDERICK
Last Name:BARTON
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 1:2109 NE 72ND ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118
Mailing Address - Country:US
Mailing Address - Phone:816-453-0195
Mailing Address - Fax:816-453-6422
Practice Address - Street 1:2109 NE 72ND ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118
Practice Address - Country:US
Practice Address - Phone:816-453-0195
Practice Address - Fax:816-453-6422
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0160901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice