Provider Demographics
NPI:1790886000
Name:MOYER, BARBARA A (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:MOYER
Suffix:
Gender:F
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 1:10184 W BELLEVIEW AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1764
Mailing Address - Country:US
Mailing Address - Phone:303-973-4424
Mailing Address - Fax:303-973-4427
Practice Address - Street 1:10184 W BELLEVIEW AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1764
Practice Address - Country:US
Practice Address - Phone:303-973-4424
Practice Address - Fax:303-973-4427
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAM 1570274OtherDEA