# LEBANON FAMILY DENTAL

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

## Provider details

- **NPI number:** 1417252206
- **Authorized official:** DR. MICHAEL DAVID BARTON JR. D.M.D (DENTIST/OWNER)
- **Authorized official phone:** (717) 273-0411

## Contact information

- **Practice address:** 207 HATHAWAY PARK, LEBANON, PA 17042-6163
- **Practice address phone:** (717) 273-0411
- **Mailing address:** 207 HATHAWAY PARK, LEBANON, PA 17042-6163
- **Mailing address phone:** (717) 273-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS037170 | PA | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 01/25/2011