Provider Demographics
NPI:1881619997
Name:BARBER, JOSEPH GLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GLEN
Last Name:BARBER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 FELLOWSHIP CHURCH RD
Mailing Address - Street 2:PO BOX 1047
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569-8226
Mailing Address - Country:US
Mailing Address - Phone:919-284-4904
Mailing Address - Fax:252-523-4947
Practice Address - Street 1:4990 US HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-7514
Practice Address - Country:US
Practice Address - Phone:252-208-4480
Practice Address - Fax:252-523-4947
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6002122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist