Provider Demographics
NPI:1295793206
Name:BARBAT, BAN R (DDS)
Entity type:Individual
Prefix:DR
First Name:BAN
Middle Name:R
Last Name:BARBAT
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 24 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3201
Mailing Address - Country:US
Mailing Address - Phone:586-739-2155
Mailing Address - Fax:586-739-3663
Practice Address - Street 1:6044 24 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3201
Practice Address - Country:US
Practice Address - Phone:586-551-7255
Practice Address - Fax:586-739-3663
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901016308122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist