Provider Demographics
NPI:1568989333
Name:BARRE DENTAL CARE
Entity Type:Organization
Organization Name:BARRE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BARRE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-367-0355
Mailing Address - Street 1:2645 MANHATTAN BLVD STE D5
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3386
Mailing Address - Country:US
Mailing Address - Phone:504-367-0355
Mailing Address - Fax:504-229-5203
Practice Address - Street 1:2645 MANHATTAN BLVD STE D5
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3386
Practice Address - Country:US
Practice Address - Phone:504-367-0355
Practice Address - Fax:504-229-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental