MEDICARE: DR. ARIE JACOB BARKATS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	30.027585	OH

General Provider Information

NPI Number	:	1093555781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIE JACOB BARKATS DDS

Provider Business Mailing Address
First Line	:	23485 WENDOVER DR
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1448
Country	:	US
Telephone Number	:	631-633-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	34501 AURORA RD STE 203
Second Line	:
City	:	SOLON
State	:	OH
Zip	:	44139-3831
Country	:	US
Telephone Number	:	440-996-3809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	06/04/2024

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