Provider Demographics
NPI:1891023107
Name:BARRY, DENNIS W (DMD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:W
Last Name:BARRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2364 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3555
Mailing Address - Country:US
Mailing Address - Phone:914-833-9058
Mailing Address - Fax:914-833-4267
Practice Address - Street 1:2364 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3555
Practice Address - Country:US
Practice Address - Phone:914-833-9058
Practice Address - Fax:914-833-4267
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice