MEDICARE: ROBERT H BARR DMD

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	DN6720	FL

General Provider Information

NPI Number	:	1588706154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT H BARR DMD

Provider Business Mailing Address
First Line	:	2808 REMINGTON GREEN CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8706
Country	:	US
Telephone Number	:	850-383-0022
Fax Number	:	850-383-0124

Provider Business Practice Location Address
First Line	:	2808 REMINGTON GREEN CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8706
Country	:	US
Telephone Number	:	850-383-0022
Fax Number	:	850-383-0124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	07/08/2007

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