Provider Demographics
NPI:1962500215
Name:BARKER, JOSEPH S (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:BARKER
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 1:206 NORTH MAIN
Mailing Address - Street 2:
Mailing Address - City:BRINKLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72021
Mailing Address - Country:US
Mailing Address - Phone:870-734-2700
Mailing Address - Fax:870-734-9969
Practice Address - Street 1:206 NORTH MAIN
Practice Address - Street 2:
Practice Address - City:BRINKLEY
Practice Address - State:AR
Practice Address - Zip Code:72021
Practice Address - Country:US
Practice Address - Phone:870-734-2700
Practice Address - Fax:870-734-9969
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR3196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F113OtherBCBS- ARKANSAS
AR46314OtherNATIONAL CONCORDIAN