Provider Demographics
NPI:1811081805
Name:BARBER, PATRICE ARIS (DDS)
Entity type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:ARIS
Last Name:BARBER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:PATRICE
Other - Middle Name:ARIS
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5428 YADKIN ROAD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303
Mailing Address - Country:US
Mailing Address - Phone:910-868-4664
Mailing Address - Fax:910-868-4949
Practice Address - Street 1:5428 YADKIN ROAD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303
Practice Address - Country:US
Practice Address - Phone:910-868-4664
Practice Address - Fax:910-868-4949
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7884122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1671139OtherUNITED CONCORDIA
1671139OtherUCCI
1671139OtherUCCI