Healthcare Provider Details

I. General information

NPI: 1750727087
Provider Name (Legal Business Name): ELIZABETH BARBI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E HENRIETTA RD
ROCHESTER NY
14623-1409
US

IV. Provider business mailing address

925 E HENRIETTA RD
ROCHESTER NY
14623-1409
US

V. Phone/Fax

Practice location:
  • Phone: 585-424-6400
  • Fax:
Mailing address:
  • Phone: 585-424-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number057897-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: