Provider Demographics
NPI:1093801540
Name:RESNICK, BARRY NEIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:NEIL
Last Name:RESNICK
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 1:1177 ASHLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2419
Mailing Address - Country:US
Mailing Address - Phone:508-998-2103
Mailing Address - Fax:508-998-0839
Practice Address - Street 1:1177 ASHLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2419
Practice Address - Country:US
Practice Address - Phone:508-998-2103
Practice Address - Fax:508-998-0839
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0126761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics