Provider Demographics
NPI:1457837734
Name:EDWARD L BARRON JR DMD PC
Entity Type:Organization
Organization Name:EDWARD L BARRON JR DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:BARRON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-527-0898
Mailing Address - Street 1:PO BOX 926
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-0926
Mailing Address - Country:US
Mailing Address - Phone:724-929-5025
Mailing Address - Fax:724-929-5060
Practice Address - Street 1:1730 ROSTRAVER RD
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012-4001
Practice Address - Country:US
Practice Address - Phone:724-929-5025
Practice Address - Fax:724-929-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029087L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental