Provider Demographics
NPI:1649380676
Name:BARKER & BARKER, P.C.
Entity Type:Organization
Organization Name:BARKER & BARKER, P.C.
Other - Org Name:THE SMILE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:618-654-9866
Mailing Address - Street 1:1117 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1922
Mailing Address - Country:US
Mailing Address - Phone:618-654-9866
Mailing Address - Fax:
Practice Address - Street 1:1117 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1922
Practice Address - Country:US
Practice Address - Phone:618-654-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty