=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245433986
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NORA EILEEN BARBER D.D.S
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2007
-----------------------------------------------------
Last Update Date | 03/13/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7535 CARPENTER FIRE STATION RD. SUITE 201
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-468-1777
-----------------------------------------------------
Fax | 919-468-1773
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3415 ROGERS RD. SUITE 111
-----------------------------------------------------
City | WAKE FOREST
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-435-1775
-----------------------------------------------------
Fax | 919-435-0437
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 8417
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 8417
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------