Provider Demographics
NPI:1043379373
Name:BARLAS, SPIRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:SPIRO
Middle Name:
Last Name:BARLAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 GOLF MILL CENTER SUITE 721
Mailing Address - Street 2:GOLF MILL PROFESSIONAL BUILDING
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714
Mailing Address - Country:US
Mailing Address - Phone:847-298-4440
Mailing Address - Fax:847-298-5162
Practice Address - Street 1:241 GOLF MILL CENTER SUITE 721
Practice Address - Street 2:GOLF MILL PROFESSIONAL BUILDING
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714
Practice Address - Country:US
Practice Address - Phone:847-298-4440
Practice Address - Fax:847-298-5162
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2012-02-22
Deactivation Date:2007-01-11
Deactivation Code:
Reactivation Date:2012-02-22
Provider Licenses
StateLicense IDTaxonomies
IL0190227661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice