Provider Demographics
NPI:1558462929
Name:RICH, BARBARA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:RICH
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 1:207 KINGS HWY S
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2508
Mailing Address - Country:US
Mailing Address - Phone:856-428-7622
Mailing Address - Fax:856-216-1232
Practice Address - Street 1:207 KINGS HWY S
Practice Address - Street 2:SUITE ONE
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2508
Practice Address - Country:US
Practice Address - Phone:856-428-7622
Practice Address - Fax:856-216-1232
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI014297001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice