Provider Demographics
NPI:1881760254
Name:WOLINSKY, BARRY RICHARD (DDS MS)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:RICHARD
Last Name:WOLINSKY
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1061
Mailing Address - Country:US
Mailing Address - Phone:973-379-5555
Mailing Address - Fax:973-379-5597
Practice Address - Street 1:493 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1061
Practice Address - Country:US
Practice Address - Phone:973-379-5555
Practice Address - Fax:973-379-5597
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DL013819001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
T44522Medicare UPIN
NJ156994AKWMedicare ID - Type Unspecified