Provider Demographics
NPI:1831396597
Name:PERKINS, BARBRA SHEA (DMD)
Entity type:Individual
Prefix:DR
First Name:BARBRA
Middle Name:SHEA
Last Name:PERKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8222 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2725
Mailing Address - Country:US
Mailing Address - Phone:812-853-0423
Mailing Address - Fax:812-490-7654
Practice Address - Street 1:8788 RUFFIAN LN
Practice Address - Street 2:SUITE B
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-3405
Practice Address - Country:US
Practice Address - Phone:812-490-7653
Practice Address - Fax:812-490-7654
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011019A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice