Provider Demographics
NPI:1609852508
Name:BARSKY, TODD BRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:BRIAN
Last Name:BARSKY
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 1:1441 BRICKELL AVE FL 3
Mailing Address - Street 2:MIAMI INSTITUTE FOR AGE MANAGEMENT AND INTERVENTION
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3439
Mailing Address - Country:US
Mailing Address - Phone:305-624-0009
Mailing Address - Fax:305-373-1175
Practice Address - Street 1:1441 BRICKELL AVE FL 3
Practice Address - Street 2:MIAMI INSTITUTE FOR AGE MANAGEMENT AND INTERVENTION
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3439
Practice Address - Country:US
Practice Address - Phone:305-624-0009
Practice Address - Fax:305-373-1175
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN174801223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics