Provider Demographics
NPI:1922217439
Name:BARBER, JUSTIN SCOTT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:SCOTT
Last Name:BARBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3029 INDEPENDENCE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4474
Mailing Address - Country:US
Mailing Address - Phone:830-625-7611
Mailing Address - Fax:830-625-7691
Practice Address - Street 1:3029 INDEPENDENCE DR STE 100
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4474
Practice Address - Country:US
Practice Address - Phone:830-625-7611
Practice Address - Fax:830-625-7691
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21504122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist