Provider Demographics
NPI:1750365243
Name:BARBAY, ANNETTE LEA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:LEA
Last Name:BARBAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ROUTE 12 BLDG 449
Mailing Address - Street 2:NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349-5600
Mailing Address - Country:US
Mailing Address - Phone:860-694-2377
Mailing Address - Fax:860-694-2590
Practice Address - Street 1:341 GRUNNION AVE
Practice Address - Street 2:BRANCH DENTAL CLINIC
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06349-5050
Practice Address - Country:US
Practice Address - Phone:860-694-2377
Practice Address - Fax:860-694-2590
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT009255122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN