Individual
DR. GUY ALLEN BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
138 S 17TH ST, BLAIR, NE 68008-2038
(402) 426-4176
(402) 426-5085
Mailing address
138 S 17TH ST, BLAIR, NE 68008-2038
(402) 426-4176
(402) 426-5085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6355
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4953
BCBS
NE
05
—
71089268300
—
NE
Enumeration date
11/17/2005
Last updated
08/29/2023
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