Provider Demographics
NPI:1295851418
Name:DANIEL D. BARRY, D.M.D., M.D.S.
Entity Type:Organization
Organization Name:DANIEL D. BARRY, D.M.D., M.D.S.
Other - Org Name:NORTH FLORIDA ORTHODONTIC SPECIALIST
Other - Org Type:Other Name
Authorized Official - Title/Position:ORTHODONTISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MDS
Authorized Official - Phone:850-656-3917
Mailing Address - Street 1:3051 HIGHLAND OAKS TER
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-3841
Mailing Address - Country:US
Mailing Address - Phone:850-656-3917
Mailing Address - Fax:
Practice Address - Street 1:3051 HIGHLAND OAKS TER
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-3841
Practice Address - Country:US
Practice Address - Phone:850-656-3917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL126501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty