Individual
DR. KYLE WESLEY BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3039
(870) 424-4670
(870) 424-4670
Mailing address
330 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3039
(870) 424-4670
(870) 424-4674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4174
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4174
STATE DENTAL LICENSE
AR
Enumeration date
06/07/2017
Last updated
06/07/2017
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