MEDICARE: TIMOTHY M. BARBER, DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry
2	1223G0001X	General Practice Dentistry	DS028992L	PA
3	122300000X	Dentist	DS028992L	PA

General Provider Information

NPI Number	:	1578780326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY M. BARBER, DMD, PC

Provider Business Mailing Address
First Line	:	125 EAST NORTH STREET
Second Line	:	SUITE 412
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3752
Country	:	US
Telephone Number	:	724-498-0491
Fax Number	:	724-498-0491

Provider Business Practice Location Address
First Line	:	125 EAST NORTH STREET
Second Line	:	SUITE 412
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3752
Country	:	US
Telephone Number	:	724-498-0491
Fax Number	:	724-498-0491

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY MARC BARBER
Credential	:	DMD
Telephone Number	:	724-498-0491

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	06/09/2014

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