| Brandon H Barton Jr Dds Pc | |
|
11200 E Mcnichols Rd Detroit MI 48234-3929 | |
| (313) 521-6400 | |
| (313) 521-4710 |
| Full Name | Brandon H Barton Jr Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 11200 E Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Brandon Harris Barton (PRESIDENT) |
| Authorized Official Contact | 3135216400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon H Barton Jr Dds Pc 11200 E Mcnichols Rd Detroit MI 48234-3929 Ph: (313) 521-6400 | Brandon H Barton Jr Dds Pc 11200 E Mcnichols Rd Detroit MI 48234-3929 Ph: (313) 521-6400 |
| NPI Number | 1801214606 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 03/31/2014 |
| Medicare PECOS PAC ID | 7618278938 |
|---|---|
| Medicare Enrollment ID | O20151210001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801214606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901012631 (Michigan) | Primary |
| Provider Name | Brandon Harris Barton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407929748 PECOS PAC ID: 8527369842 Enrollment ID: I20151210001829 |
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