Healthcare Provider Details

I. General information

NPI: 1255400131
Provider Name (Legal Business Name): JAMES G BARRER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 PENN AVE
WEST READING PA
19611
US

IV. Provider business mailing address

311 PENN AVE
WEST READING PA
19611
US

V. Phone/Fax

Practice location:
  • Phone: 610-376-4288
  • Fax: 610-376-1846
Mailing address:
  • Phone: 610-376-4288
  • Fax: 610-376-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS-021656-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: