Davis, Barton Grant

Davis, Barton Grant is an individual health care provider with primary practice located at 7470 S Park Dr , Savage MN 55378-3635. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Barton Grant can be contacted via phone (952) 479-1571.

Contact Information

Primary practice address
7470 S Park Dr Savage MN 55378-3635
Fax: (952) 479-1577
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11771 Minnesota

Profile Details

NPI number 1306908348
LBN Legal business name Davis, Barton Grant
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306908348 NPPES
Minnesota MEDICAID 751178700

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