Provider Demographics
NPI:1639464134
Name:BARBARO, JUSTIN RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:RICHARD
Last Name:BARBARO
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 1:114 GRAYLYN DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4454
Mailing Address - Country:US
Mailing Address - Phone:910-391-2223
Mailing Address - Fax:
Practice Address - Street 1:110 E WADDELL ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2851
Practice Address - Country:US
Practice Address - Phone:919-965-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC91211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice