Provider Demographics
NPI:1184710378
Name:BARBER, GREGORY VANCE (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:VANCE
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 1:930 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4141
Mailing Address - Country:US
Mailing Address - Phone:724-832-8230
Mailing Address - Fax:724-832-8501
Practice Address - Street 1:930 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4141
Practice Address - Country:US
Practice Address - Phone:724-832-8230
Practice Address - Fax:724-832-8501
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021655L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice