Provider Demographics
NPI:1629086681
Name:OLLECH, BARBARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:OLLECH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 OLD NYACK TPK
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5854
Mailing Address - Country:US
Mailing Address - Phone:845-352-7545
Mailing Address - Fax:845-352-8480
Practice Address - Street 1:274 OLD NYACK TPK
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5854
Practice Address - Country:US
Practice Address - Phone:845-352-7545
Practice Address - Fax:845-352-8480
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041911332B00000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies