Provider Demographics
NPI:1164951349
Name:BARKER, SARAH SMITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SMITH
Last Name:BARKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CUTTY CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8959
Mailing Address - Country:US
Mailing Address - Phone:919-880-1165
Mailing Address - Fax:
Practice Address - Street 1:10207 CERNY ST STE 106
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4880
Practice Address - Country:US
Practice Address - Phone:919-336-2981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC107021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice