Provider Demographics
NPI:1578780326
Name:TIMOTHY M. BARBER, DMD, PC
Entity Type:Organization
Organization Name:TIMOTHY M. BARBER, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-498-0491
Mailing Address - Street 1:125 EAST NORTH STREET
Mailing Address - Street 2:SUITE 412
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3752
Mailing Address - Country:US
Mailing Address - Phone:724-498-0491
Mailing Address - Fax:724-498-0491
Practice Address - Street 1:125 EAST NORTH STREET
Practice Address - Street 2:SUITE 412
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3752
Practice Address - Country:US
Practice Address - Phone:724-498-0491
Practice Address - Fax:724-498-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028992L122300000X, 1223G0001X
1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty