MEDICARE: BARBARA E. B. MYERS, D.M.D., P.C.

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	122300000X	Dentist	19014233	IL

General Provider Information

NPI Number	:	1629228952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA E. B. MYERS, D.M.D., P.C.

Provider Business Mailing Address
First Line	:	8 S 360 COLLEGE ROAD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-9573
Country	:	US
Telephone Number	:	630-968-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 WOODWARD AVE STE L
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2369
Country	:	US
Telephone Number	:	630-968-9220
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BARBARA E B MYERS
Credential	:	DMD
Telephone Number	:	630-968-9220

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	09/27/2008

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