Provider Demographics
NPI:1659425502
Name:BARBELL, BRYEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRYEN
Middle Name:
Last Name:BARBELL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 E EVESHAM RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9590
Mailing Address - Country:US
Mailing Address - Phone:856-489-8990
Mailing Address - Fax:856-489-8992
Practice Address - Street 1:2401 E EVESHAM RD
Practice Address - Street 2:SUITE B
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9590
Practice Address - Country:US
Practice Address - Phone:856-489-8990
Practice Address - Fax:856-489-8992
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD186371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA511617OtherUNITED CONCORDIA
NJ1000665OtherDELTA DENTAL OF NJ