Provider Demographics
NPI:1073619482
Name:BARBRE, RAYMOND EARL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EARL
Last Name:BARBRE
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:5201 S COOPER ST
Mailing Address - Street 2:STE. 123
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5933
Mailing Address - Country:US
Mailing Address - Phone:817-472-8877
Mailing Address - Fax:817-472-5550
Practice Address - Street 1:5201 S COOPER ST
Practice Address - Street 2:STE. 123
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5933
Practice Address - Country:US
Practice Address - Phone:817-472-8877
Practice Address - Fax:817-472-5550
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX149001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics