Provider Demographics
NPI:1376750166
Name:BARKER, THOMAS S I (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:BARKER
Suffix:I
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 1:4823 HOVENKAMP DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2837
Mailing Address - Country:US
Mailing Address - Phone:972-603-8792
Mailing Address - Fax:817-251-1467
Practice Address - Street 1:271 E SOUTHLAKE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6272
Practice Address - Country:US
Practice Address - Phone:817-421-2437
Practice Address - Fax:817-251-1467
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22731122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist