Provider Demographics
NPI:1649498296
Name:BARKY, ALICE JACQUELINE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:JACQUELINE
Last Name:BARKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-4237
Mailing Address - Country:US
Mailing Address - Phone:805-368-7447
Mailing Address - Fax:
Practice Address - Street 1:1023 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-4237
Practice Address - Country:US
Practice Address - Phone:805-368-7447
Practice Address - Fax:805-623-5574
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA512851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice