Provider Demographics
NPI:1689796344
Name:DAVIES, BARBARA GLAB (DMD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:GLAB
Last Name:DAVIES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WALL ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-4836
Mailing Address - Country:US
Mailing Address - Phone:781-431-9899
Mailing Address - Fax:
Practice Address - Street 1:220 N MAIN ST
Practice Address - Street 2:203
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1100
Practice Address - Country:US
Practice Address - Phone:508-655-5331
Practice Address - Fax:508-655-5449
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA193351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice