Provider Demographics
NPI:1508027079
Name:BARBATO, ISABEL B (DDS)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:B
Last Name:BARBATO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11540 MIDLOTHIAN TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23535-4747
Mailing Address - Country:US
Mailing Address - Phone:804-594-6916
Mailing Address - Fax:804-594-6921
Practice Address - Street 1:11540 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4747
Practice Address - Country:US
Practice Address - Phone:804-594-6916
Practice Address - Fax:804-594-6921
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014121761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice