Provider Demographics
NPI:1609038991
Name:BARKLEY, BENJAMIN HUNTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:HUNTER
Last Name:BARKLEY
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 1:895 STATE FARM RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4917
Mailing Address - Country:US
Mailing Address - Phone:828-386-1033
Mailing Address - Fax:828-386-1303
Practice Address - Street 1:895 STATE FARM RD
Practice Address - Street 2:SUITE 302
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4917
Practice Address - Country:US
Practice Address - Phone:828-386-1033
Practice Address - Fax:828-386-1303
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist