Provider Demographics
NPI:1255503702
Name:THOMAS J BARA DMD
Entity Type:Organization
Organization Name:THOMAS J BARA DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-464-4100
Mailing Address - Street 1:PO BOX 2280
Mailing Address - Street 2:59 WEST MAIN ST
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244
Mailing Address - Country:US
Mailing Address - Phone:603-464-4100
Mailing Address - Fax:603-464-2036
Practice Address - Street 1:59 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244
Practice Address - Country:US
Practice Address - Phone:603-464-4100
Practice Address - Fax:603-464-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2643122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty