Provider Demographics
NPI:1801983077
Name:BARBER, SANFORD ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:ALAN
Last Name:BARBER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 RANDOLPH ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2260
Mailing Address - Country:US
Mailing Address - Phone:301-881-2323
Mailing Address - Fax:301-881-1301
Practice Address - Street 1:4701 RANDOLPH ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2260
Practice Address - Country:US
Practice Address - Phone:301-881-2323
Practice Address - Fax:301-881-1301
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD55781223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics