Provider Demographics
NPI:1538500095
Name:KANTOR, BARRY ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:ROBERT
Last Name:KANTOR
Suffix:
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 1:711 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3428
Mailing Address - Country:US
Mailing Address - Phone:201-865-2847
Mailing Address - Fax:201-865-2847
Practice Address - Street 1:711 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3428
Practice Address - Country:US
Practice Address - Phone:201-865-2847
Practice Address - Fax:201-865-2847
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011001001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice