Provider Demographics
NPI:1720660251
Name:JOHN BARTA DDS PLLC
Entity Type:Organization
Organization Name:JOHN BARTA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TALBOTT
Authorized Official - Last Name:BARTA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-691-2233
Mailing Address - Street 1:1550 CHAPEL HILLS DR APT E101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5417
Mailing Address - Country:US
Mailing Address - Phone:810-691-2233
Mailing Address - Fax:
Practice Address - Street 1:339 MCCASLIN BLVD STE B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2914
Practice Address - Country:US
Practice Address - Phone:810-691-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental