Provider Demographics
NPI:1215039623
Name:SIAS-CHINN, BARBARA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:SIAS-CHINN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:SIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2030 HEIGHTS DR
Mailing Address - Street 2:#2
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2176
Mailing Address - Country:US
Mailing Address - Phone:254-699-9696
Mailing Address - Fax:254-699-7169
Practice Address - Street 1:2030 HEIGHTS DR
Practice Address - Street 2:#2
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2176
Practice Address - Country:US
Practice Address - Phone:254-699-9696
Practice Address - Fax:254-699-7169
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX168181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice