Provider Demographics
NPI:1689720849
Name:BINIKER, BARRY FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:FRANCIS
Last Name:BINIKER
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 1:1351 FORD ST
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1732
Mailing Address - Country:US
Mailing Address - Phone:419-865-8886
Mailing Address - Fax:
Practice Address - Street 1:1351 FORD ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1732
Practice Address - Country:US
Practice Address - Phone:419-865-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-015394122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0352934Medicaid