Provider Demographics
NPI:1952459612
Name:ROLIN, BARRY W (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:W
Last Name:ROLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4805 GALLATIN ROAD
Mailing Address - Street 2:ROLIN HILLS DENTAL CARE INC PC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216
Mailing Address - Country:US
Mailing Address - Phone:615-227-0955
Mailing Address - Fax:615-650-0596
Practice Address - Street 1:4805 GALLATIN ROAD
Practice Address - Street 2:ROLIN HILLS DENTAL CARE INC PC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216
Practice Address - Country:US
Practice Address - Phone:615-227-0955
Practice Address - Fax:615-650-0596
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALTN71781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN7178Medicaid