Provider Demographics
NPI:1629134176
Name:JAYE, BARRY MARTIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:MARTIN
Last Name:JAYE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:505 TREMONT ST
Mailing Address - Street 2:APT. 809
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-6398
Mailing Address - Country:US
Mailing Address - Phone:617-262-2644
Mailing Address - Fax:617-262-2146
Practice Address - Street 1:1256 PARK ST
Practice Address - Street 2:SUITE 203
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3745
Practice Address - Country:US
Practice Address - Phone:781-341-5300
Practice Address - Fax:781-341-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA108691223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics