Provider Demographics
NPI:1295835320
Name:BARBER, TIMOTHY MARC (DMD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MARC
Last Name:BARBER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E NORTH ST
Mailing Address - Street 2:SUITE 412
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3718
Mailing Address - Country:US
Mailing Address - Phone:724-498-0491
Mailing Address - Fax:
Practice Address - Street 1:125 E NORTH ST
Practice Address - Street 2:SUITE 412
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3718
Practice Address - Country:US
Practice Address - Phone:724-498-0491
Practice Address - Fax:724-498-0491
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028992L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist