Provider Demographics
NPI:1235240573
Name:SOLOMON, BARRY JAY (DDS)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:JAY
Last Name:SOLOMON
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 1:6300 HILLCROFT
Mailing Address - Street 2:SUITE 522
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3009
Mailing Address - Country:US
Mailing Address - Phone:713-988-8009
Mailing Address - Fax:713-988-8010
Practice Address - Street 1:6300 HILLCROFT
Practice Address - Street 2:SUITE 522
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3009
Practice Address - Country:US
Practice Address - Phone:713-988-8009
Practice Address - Fax:713-988-8010
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice