William Brian Bartow, DDS

Individual provider Active NPI General Practice Dentistry · Marshfield, MO

NPI 1376624015 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376624015
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
13797 (MO)
Practice address
547 West Jackson St
Marshfield, MO 65706
Phone
(417) 859-2279
Fax
(417) 859-2279
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13797MOMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13797 MO Yes

Addresses

Primary practice location

547 West Jackson St
Marshfield, MO 65706

Mailing address

PO Box 257
547 West Jackson St
Marshfield, MO 65706
Phone (417) 859-2279

Other providers in Marshfield, MO

All providers in Marshfield, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.