Healthcare Provider Details

I. General information

NPI: 1831292119
Provider Name (Legal Business Name): PERRY A BARR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 63 BOX 3560
ROMNEY WV
26757-9722
US

IV. Provider business mailing address

60 OAKVIEW DR
MOOREFIELD WV
26836
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-3833
  • Fax: 304-822-7943
Mailing address:
  • Phone: 304-538-7996
  • Fax: 304-822-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3029
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: