Provider Demographics
NPI:1700988870
Name:BARBER, JANN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANN
Middle Name:C
Last Name:BARBER
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 1:3154 COLLINS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-599-3736
Mailing Address - Fax:304-599-3735
Practice Address - Street 1:3154 COLLINS FERRY RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505
Practice Address - Country:US
Practice Address - Phone:304-599-3736
Practice Address - Fax:304-599-3735
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
463446OtherUNITED CONCORDIA
WV1807507001Medicare ID - Type Unspecified