Provider Demographics
NPI:1538271572
Name:BARTH, KURT ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:ARTHUR
Last Name:BARTH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1499 LAKEWOOD DRIVE
Mailing Address - Street 2:UNIT F
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450
Mailing Address - Country:US
Mailing Address - Phone:815-941-1910
Mailing Address - Fax:815-941-1929
Practice Address - Street 1:1499 LAKEWOOD DRIVE
Practice Address - Street 2:UNIT F
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450
Practice Address - Country:US
Practice Address - Phone:815-941-1910
Practice Address - Fax:815-941-1929
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice