Provider Demographics
NPI:1649214735
Name:BARKER, JOHN HILL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HILL
Last Name:BARKER
Suffix:JR
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 1:2103 LEGACY CT
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2216
Mailing Address - Country:US
Mailing Address - Phone:410-838-3664
Mailing Address - Fax:
Practice Address - Street 1:BLDG. E4110, AUSTIN ROAD
Practice Address - Street 2:EDGEWOOD DENTAL CLINIC
Practice Address - City:APG EDGEWOOD AREA
Practice Address - State:MD
Practice Address - Zip Code:21010
Practice Address - Country:US
Practice Address - Phone:410-436-3481
Practice Address - Fax:410-436-2442
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010049831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice