Healthcare Provider Details

I. General information

NPI: 1053526806
Provider Name (Legal Business Name): BARRY P SKALER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 S MAIN ST
PLEASANTVILLE NJ
08232-3646
US

IV. Provider business mailing address

860 S WHITE HORSE PIKE
HAMMONTON NJ
08037-2018
US

V. Phone/Fax

Practice location:
  • Phone: 609-383-0880
  • Fax: 609-383-9123
Mailing address:
  • Phone: 609-561-9150
  • Fax: 609-561-9383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI00821700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: