Provider Demographics
NPI:1013175553
Name:BARKER, CHESTER III (DDS)
Entity type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:
Last Name:BARKER
Suffix:III
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 1:10919 KATY FWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2202
Mailing Address - Country:US
Mailing Address - Phone:713-465-0540
Mailing Address - Fax:713-465-0540
Practice Address - Street 1:10919 KATY FWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2202
Practice Address - Country:US
Practice Address - Phone:713-465-0540
Practice Address - Fax:713-465-0540
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16239122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist