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NPI Code Detail

MEDICARE: DR. ADAM JUSTIN BARR D.D.S.

MEDICARE: DR. ADAM JUSTIN BARR D.D.S.
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
11223G0001XGeneral Practice Dentistry54657CA
21223G0001XGeneral Practice DentistryDN 17642FL

General Provider Information

NPI Number : 1588863427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM JUSTIN BARR D.D.S.
Provider Business Mailing Address
First Line : 565 ERROL PKWY
Second Line :
City : APOPKA
State : FL
Zip : 32712-4441
Country : US
Telephone Number : 407-782-3433
Fax Number :
Provider Business Practice Location Address
First Line : 980 MOUNT HOMER RD
Second Line :
City : EUSTIS
State : FL
Zip : 32726-6258
Country : US
Telephone Number : 352-357-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 12/22/2009

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