Provider Demographics
NPI:1164635710
Name:DR. BARRY F. MCARDLE GENERAL DENTIST, PA
Entity Type:Organization
Organization Name:DR. BARRY F. MCARDLE GENERAL DENTIST, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-430-1010
Mailing Address - Street 1:118 MAPLEWOOD AVE
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3787
Mailing Address - Country:US
Mailing Address - Phone:603-430-1010
Mailing Address - Fax:603-430-3050
Practice Address - Street 1:118 MAPLEWOOD AVE
Practice Address - Street 2:SUITE B-7
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3787
Practice Address - Country:US
Practice Address - Phone:603-430-1010
Practice Address - Fax:603-430-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty