Provider Demographics
NPI:1497781231
Name:BARBER, ARNOLD S (DO)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:S
Last Name:BARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E MCPHERSON ST
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-3566
Mailing Address - Country:US
Mailing Address - Phone:660-665-5653
Mailing Address - Fax:660-665-7110
Practice Address - Street 1:215 E MCPHERSON ST
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-3566
Practice Address - Country:US
Practice Address - Phone:660-665-5653
Practice Address - Fax:660-665-7110
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO408661106Medicaid