Healthcare Provider Details

I. General information

NPI: 1386726537
Provider Name (Legal Business Name): MICHAEL EDWARD BARKIN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST STE 325
SAN FRANCISCO CA
94115-2378
US

IV. Provider business mailing address

2100 WEBSTER ST STE 325
SAN FRANCISCO CA
94115-2378
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3034
  • Fax: 415-921-1051
Mailing address:
  • Phone: 415-923-3034
  • Fax: 415-921-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number23274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: