Provider Demographics
NPI:1700851961
Name:STEINBERG, BARRY (MD, DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:UFJP MAXILLOFACIAL SURGERY
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-244-3216
Practice Address - Fax:904-244-3218
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76487204E00000X
FLDTP333122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00087962OtherRAILROAD MEDICARE
FL2577348-00Medicaid
GA000815581AMedicaid
FL0718301-00Medicaid
FLT48263Medicare UPIN
GA000815581AMedicaid