MEDICARE: SAMUEL I 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	034173	NY
2	1223G0001X	General Practice Dentistry	DN13951	MA

General Provider Information

NPI Number	:	1649284894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL I BARR DMD

Provider Business Mailing Address
First Line	:	17 WEBER FARM RD
Second Line	:
City	:	WRENTHAM
State	:	MA
Zip	:	02093-1954
Country	:	US
Telephone Number	:	315-744-8325
Fax Number	:

Provider Business Practice Location Address
First Line	:	188 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5819
Country	:	US
Telephone Number	:	617-432-1414
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/16/2023

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