# MARTIN T BARCO, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barco Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780187674
- **Authorized official:** DR. MARTIN THOMAS BARCO III DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (754) 346-1481

## Contact information

- **Practice address:** 615 N WALNUT ST, BLOOMINGTON, IN 47404-3811
- **Practice address phone:** (812) 332-8290
- **Mailing address:** 615 N WALNUT ST, BLOOMINGTON, IN 47404-3811
- **Mailing address phone:** (812) 332-8290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011246A | IN | Yes |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 03/16/2018