Provider Demographics
NPI:1619985678
Name:JANN C BARBER DDS PLLC
Entity Type:Organization
Organization Name:JANN C BARBER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-599-3736
Mailing Address - Street 1:3154 COLLINS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-599-3736
Mailing Address - Fax:304-599-3735
Practice Address - Street 1:3154 COLLINS FERRY RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-599-3736
Practice Address - Fax:304-599-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
463446OtherUNITED CONCORDIA
463446OtherUNITED CONCORDIA