Provider Demographics
NPI:1912388133
Name:BARBER HERNANDEZ, JANETXIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANETXIA
Middle Name:
Last Name:BARBER HERNANDEZ
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 1:3711 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3638
Mailing Address - Country:US
Mailing Address - Phone:305-338-7127
Mailing Address - Fax:
Practice Address - Street 1:3711 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3638
Practice Address - Country:US
Practice Address - Phone:305-338-7127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN212851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice