Healthcare Provider Details

I. General information

NPI: 1962500215
Provider Name (Legal Business Name): JOSEPH S BARKER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 NORTH MAIN
BRINKLEY AR
72021
US

IV. Provider business mailing address

206 NORTH MAIN
BRINKLEY AR
72021
US

V. Phone/Fax

Practice location:
  • Phone: 870-734-2700
  • Fax: 870-734-9969
Mailing address:
  • Phone: 870-734-2700
  • Fax: 870-734-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberAR3196
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: