Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 6220 | NE |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9730 | IA |
N | 204E00000X | Oral & Maxillofacial Surgeon | 10768 | MT |
NPI | 1215038740 |
---|---|
Provider Name | Dr. James Haynie Barton |
First Address | Omaha, NE 68164 |
Second Address | Council Bluffs, IA 51503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 21/10/2021 |