Provider Demographics
NPI:1669686846
Name:BARBIERI, DAMON M (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DAMON
Middle Name:M
Last Name:BARBIERI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ENON SPRINGS RD E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3011
Mailing Address - Country:US
Mailing Address - Phone:615-355-2055
Mailing Address - Fax:615-355-2019
Practice Address - Street 1:206 ENON SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3011
Practice Address - Country:US
Practice Address - Phone:615-355-2055
Practice Address - Fax:615-355-2019
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA547951223G0001X
TN91841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223G0001XDental ProvidersDentistGeneral Practice