Healthcare Provider Details

I. General information

NPI: 1992619472
Provider Name (Legal Business Name): NICOLE R BARR RDH,PHDHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2416 BURHAM ST
PITTSBURGH PA
15203-2438
US

IV. Provider business mailing address

26 LOCUST ST
WARREN PA
16365-3110
US

V. Phone/Fax

Practice location:
  • Phone: 724-504-5060
  • Fax:
Mailing address:
  • Phone: 814-706-2095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH069843
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: