# DAVID BARTS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134515810
- **Authorized official:** DAVID JOE BARTS DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (574) 223-7792

## Contact information

- **Practice address:** 1360 E 4TH ST, ROCHESTER, IN 46975-9103
- **Practice address phone:** (574) 223-7792
- **Practice address fax:** (574) 224-7792
- **Mailing address:** 1360 E 4TH ST, PO BOX 667, ROCHESTER, IN 46975-9103
- **Mailing address phone:** (574) 223-7792
- **Mailing address fax:** (574) 224-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009107A | IN | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100118590A | — | IN |